form5500lookup

Form 5500 · Employee benefit plan · MADISON, WI

WISCONSIN BANKERS ASSOCIATION INSURANCE TRUST FUND

WISCONSIN BANKERS ASSOCIATION INSURANCE TRUST FUND of MADISON, WI is a 3,300-participant employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is WISCONSIN BANKERS ASSOCIATION EBC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
WISCONSIN BANKERS ASSOCIATION EBC
Insurance carrier
UNITEDHEALTHCARE INSURANCE COMPANY
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-6046865 · plan 501 · plan year 2025, filed Jul 30, 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

Fully insured as reported

The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
3,300
Active at start of year
3,126
Active at end of year
3,102
Disclosed commissions
$578,674
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY3,025 of 3,300 participants (92%) on the largest contract
Dentalinsured — DELTA DENTAL OF WISCONSIN1,116 of 3,300 participants (34%) on the largest contract
Visioninsured — NGL732 of 3,300 participants (22%)
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY2,470 of 3,300 participants (75%)
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY2,197 of 3,300 participants (67%)

Also declared: other welfare.

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 15 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 3,025 people.

Reported premium across the insured contracts is $25,401,467, with $578,674 in disclosed broker commissions — about 2.3% 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.

WISCONSIN BANKERS ASSOCIATION EBC is the broker of record on 1 of the 15 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, DELTA DENTAL OF WISCONSIN and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITEDHEALTHCARE INSURANCE COMPANYHealth3,025Jan 1, 2026$19,469,886$299,462
DELTA DENTAL OF WISCONSINDental1,116Jan 1, 2026$1,320,146$62,705
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife2,470Jan 1, 2026$676,154$54,092
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability2,197Jan 1, 2026$455,812$36,465
WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATIONHealth213Jan 1, 2026$1,656,644$33,499
DELTA DENTAL OF WISCONSINDental474Jan 1, 2026$534,296$25,379
DELTA DENTAL OF WISCONSINDental326Jan 1, 2026$345,445$17,669
DELTA DENTAL OF WISCONSINDental274Jan 1, 2026$327,182$15,541
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY—666Jan 1, 2026$149,186$11,935
DELTA DENTAL OF WISCONSINDental198Jan 1, 2026$211,367$10,040
DELTA DENTAL OF WISCONSINDental87Jan 1, 2026$84,915$4,033
DELTA DENTAL OF WISCONSINDental76Jan 1, 2026$92,263$4,006
NGLVision732Jan 1, 2026$53,901$2,695
DELTA DENTAL OF WISCONSINDental15Jan 1, 2026$12,966$616
DELTA DENTAL OF WISCONSINDental9Jan 1, 2026$11,304$537

Premium and claims on these contracts

DELTA DENTAL OF WISCONSIN, contract 02513 00000. For the contract year on this filing, the carrier reported $1,320,146 in premium earned and $1,139,641 in claims incurred. Dividing one by the other gives 86%.

WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, contract 100000011. For the contract year on this filing, the carrier reported $1,656,644 in premium earned and $1,403,185 in claims incurred. Dividing one by the other gives 85%.

DELTA DENTAL OF WISCONSIN, contract 02613 00000. For the contract year on this filing, the carrier reported $533,610 in premium earned and $494,321 in claims incurred. Dividing one by the other gives 93%.

DELTA DENTAL OF WISCONSIN, contract 01216 00000. For the contract year on this filing, the carrier reported $345,371 in premium earned and $348,953 in claims incurred. Dividing one by the other gives 101%.

DELTA DENTAL OF WISCONSIN, contract 11220 00000. For the contract year on this filing, the carrier reported $326,987 in premium earned and $268,583 in claims incurred. Dividing one by the other gives 82%.

DELTA DENTAL OF WISCONSIN, contract 11320 00000. For the contract year on this filing, the carrier reported $210,772 in premium earned and $183,193 in claims incurred. Dividing one by the other gives 87%.

DELTA DENTAL OF WISCONSIN, contract 08418 00000. For the contract year on this filing, the carrier reported $84,791 in premium earned and $73,391 in claims incurred. Dividing one by the other gives 87%.

DELTA DENTAL OF WISCONSIN, contract 06317 00000. For the contract year on this filing, the carrier reported $92,263 in premium earned and $70,747 in claims incurred. Dividing one by the other gives 77%.

DELTA DENTAL OF WISCONSIN, contract 08318 00000. For the contract year on this filing, the carrier reported $12,868 in premium earned and $8,801 in claims incurred. Dividing one by the other gives 68%.

DELTA DENTAL OF WISCONSIN, contract 03118 00000. For the contract year on this filing, the carrier reported $10,978 in premium earned and $8,839 in claims incurred. Dividing one by the other gives 81%.

  • DELTA DENTAL OF WISCONSIN, contract 02513 00000 reported $234,325 in retention.
  • WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, contract 100000011 reported $33,498 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 02613 00000 reported $100,068 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 01216 00000 reported $64,759 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 11220 00000 reported $61,315 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 11320 00000 reported $41,645 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 08418 00000 reported $17,598 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 06317 00000 reported $19,144 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 08318 00000 reported $3,061 in retention.
  • DELTA DENTAL OF WISCONSIN, contract 03118 00000 reported $2,623 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
WISCONSIN BANKERS ASSOCIATION INSURANCE TRUST FUND
EIN 39-6046865
WBA EMPLOYEE BENEFITS CORP., INC.
Contract administrator · EIN 39-1427087
$180,000
paid directly by the plan
WIPFLI LLP
Accounting and audit · EIN 39-0758449
$21,465
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$757,804
Paid out in benefits
$24,758,021
Paid to insurance carriersSchedule H, line 2e(2)
$24,758,021
Independent accountantEIN 41-2899048
WIPFLI LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$23,208

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

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

plan 502Insured benefit plan · 1 Schedule A contractRenews ~Jan 1

How this plan compares

Subscribers see how this compares with similar plans in Wisconsin. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices

Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.

Renewal calendar

1,633 other employer plans in Wisconsin are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

See January 1 renewals in WISee how the plan works

Claude & ChatGPT

Look up records from Claude or ChatGPT

Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.

Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both

Add to Claude Set up ChatGPT

More employer plans in Wisconsin — largest plans, brokers, carriers and renewal months.

WISCONSIN BANKERS ASSOCIATION INSURANCE TRUST FUND plan 501 — benefits broker, carrier, renewal date · Form5500Lookup