Form 5500 · Employee benefit plan · MONONA, WI
WPS INSURANCE CORPORATION
The filing calls this plan WPS INSURANCE CORPORATION NON-BARGAINING UNIT ANCILLARY COVERAGE PLAN.
Public Form 5500 records show how WPS INSURANCE CORPORATION of MONONA, WI, a finance and insurance employer, structures its employee benefits. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 39-1268299 · plan 514 · plan year 2025, filed Jul 20, 2026
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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.
Benefits declared on this filing
Also declared: severance, 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 vision, life and disability; the largest, with PRUDENTIAL INSURANCE COMPANY OF AMERICA, covers 662 people.
Reported premium is $1,350,809; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
3 carriers appear on the filing, including PRUDENTIAL INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN and HARTFORD LIFE AND ACCIDENT. PRUDENTIAL INSURANCE COMPANY OF AMERICA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 662 | Jan 1, 2026 | $517,206 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 1,286 | Jan 1, 2026 | $392,611 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Disability | 948 | Jan 1, 2026 | $247,199 | $0 |
| VISION SERVICE PLAN | Vision | 890 | Jan 1, 2026 | $191,288 | $0 |
| HARTFORD LIFE AND ACCIDENT | — | 1,286 | Jan 1, 2026 | $2,505 | $0 |
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.
Other plans filed by this employer
How this plan compares
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