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Form 5500 · Employee benefit plan · MERRILL, WI

WEINBRENNER SHOE COMPANY, INC.

The filing calls this plan WEINBRENNER SHOE COMPANY, INC. GROUP INSURANCE PLAN.

WEINBRENNER SHOE COMPANY, INC. of MERRILL, WI insures health, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL MIDWEST LTD. Coverage is written through STANDARD INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1597573 · plan 503 · plan year 2025, filed May 18, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

1,633 other employer plans in Wisconsin have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
393
Active at start of year
393
Active at end of year
392
Disclosed commissions
$57,628
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — STANDARD INSURANCE COMPANY155 of 393 participants (39%)
Dentaldeclared, not on Schedule A
Visioninsured — NATIONAL VISION ADMINISTRATORS, LLC357 of 393 participants (91%)
Lifeinsured — STANDARD INSURANCE COMPANY381 of 393 participants (97%)
Disabilityinsured — STANDARD INSURANCE COMPANY205 of 393 participants (52%) on the largest contract

Also declared: death benefits.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 5 insured contracts covering health, vision, life and disability; the largest, with STANDARD INSURANCE COMPANY, covers 205 people.

The filing declares health, vision, life, disability and dental. Dental appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium across the insured contracts is $397,051, with $57,628 in disclosed broker commissions — about 15% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

HUB INTERNATIONAL MIDWEST LTD is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
STANDARD INSURANCE COMPANYHealth155Jan 1, 2026$60,828$21,973
STANDARD INSURANCE COMPANYDisability205Jan 1, 2026$164,482$13,253
STANDARD INSURANCE COMPANYLife381Jan 1, 2026$86,998$12,468
STANDARD INSURANCE COMPANYDisability162Jan 1, 2026$63,701$7,830
NATIONAL VISION ADMINISTRATORS, LLCVision357Jan 1, 2026$21,042$2,104

Premium and claims on these contracts

STANDARD INSURANCE COMPANY, contract 172235. For the contract year on this filing, the carrier reported $164,482 in premium earned and $97,067 in claims incurred. Dividing one by the other gives 59%.

STANDARD INSURANCE COMPANY, contract 172235. For the contract year on this filing, the carrier reported $86,998 in premium earned and $64,085 in claims incurred. Dividing one by the other gives 74%.

  • STANDARD INSURANCE COMPANY, contract 172235 reported $53,519 in retention.
  • STANDARD INSURANCE COMPANY, contract 172235 reported $28,439 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
WEINBRENNER SHOE COMPANY, INC.
EIN 39-1597573

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

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