BenefitsLedger
Employer health plan record · Plan year 2025 (latest filing) · Form 5500

Goodwill Industries of North Central Wisconsin,inc.

Other services · Menasha, Wisconsin · EIN ending 4913

Updated Filing received by DOL

Goodwill Industries of North Central Wisconsin,inc., an other services employer in Menasha, Wisconsin, reported 624 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 8 insurance contracts with no premium reported and $61,331 in broker commissions and fees. The plan is self-funded (the employer pays claims itself, with stop-loss coverage from United Health). The Department of Labor received the filing on July 21, 2026, before the deadline.

Participants
624
−8.4% vs 2024
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$61,331
+5.7% vs 2024
Commission rate
n/a
needs insured medical premium

Who was paid on Goodwill Industries of North Central Wisconsin,inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Goodwill Industries of North Central Wisconsin,inc. filed for 2025.

Broker or agentCommissionsFeesTotalContracts
McClone Agency Inc. · Menasha, WI$28,345$24,189$52,5347
Gi George Parent LP · Fort Washington, PA$0$8,797$8,7976

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Wyssta Insurance Company, Inc.vision274—$5,257—
United Healthstop-loss343———
United of Omaha Life Insurance Companylong-term disability680—$8,973—
United of Omaha Life Insurance Companylife618—$12,251—
United of Omaha Life Insurance Companycoverage not coded103—$3,245—
United of Omaha Life Insurance Companycoverage not coded116—$4,613—
United of Omaha Life Insurance Companyshort-term disability582—$22,711—
United of Omaha Life Insurance Companycoverage not coded93—$4,281—

Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Goodwill Industries of North Central Wisconsin,inc. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Goodwill Industries of North Central Wisconsin,inc.
$61,331
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$57,999$61,331Broker pay20242025
Goodwill Industries of North Central Wisconsin,inc.: premiums and broker commissions + fees, 2024 vs 2025
20242025Change
Participants681624−8.4%
Premiums filed$0$0—
Broker commissions + fees$57,999$61,331+5.7%
Commission rate———

Source: DOL Form 5500 filings for plan years 2024 and 2025.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Goodwill Industries of North Central Wisconsin, Inc. Cafeteria Plan#501 · insurance, general assetsDecember 31, 2025July 21, 2026before deadline624

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Goodwill Industries of North Central Wisconsin,inc. pay in health insurance broker commissions in 2025?

Goodwill Industries of North Central Wisconsin,inc.'s 2025 Form 5500 reports $61,331 in broker commissions and fees across 8 insurance contracts ($28,345 in commissions, $32,986 in fees), with McClone Agency Inc. receiving the largest share.

Is Goodwill Industries of North Central Wisconsin,inc.'s health plan self-funded or fully insured?

The 2025 filing indicates the plan is self-funded (the employer pays claims itself, with stop-loss coverage from United Health).

How does Goodwill Industries of North Central Wisconsin,inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Goodwill Industries of North Central Wisconsin,inc. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 500-999 participants that disclosed broker pay reported a median of $104,902.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.