Form 5500 · Employee benefit plan · MAIDEN ROCK, WI
WIESER CONCRETE PRODUCTS
The filing calls this plan WIESER CONCRETE HEALTH PLAN.
WIESER CONCRETE PRODUCTS of MAIDEN ROCK, WI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is NORTH RISK PARTNERS LLC. Coverage is written through GERBER LIFE INSURANCE COMPANY. The plan's most recent policy period ended in January.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1093327 · plan 501 · plan year 2025, filed Aug 29, 2025
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How this plan is funded
Both, as reported
The filing reports both insurance premium and benefits paid from the plan's own money, and the two amounts do not line up.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
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.
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 1 insured contract covering health and stop-loss; the largest, with GERBER LIFE INSURANCE COMPANY, covers 95 people.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $399,620, with $34,920 in disclosed broker commissions — about 8.7% of premium.
The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| GERBER LIFE INSURANCE COMPANY | Health, Stop-loss | 95 | Feb 1, 2025 | $399,620 | $34,920 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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