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

Nicolet National Bank

Finance & insurance · Green Bay, Wisconsin · EIN ending 0426

Updated Filing received by DOL

Nicolet National Bank, a finance & insurance employer in Green Bay, Wisconsin, reported 973 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 5 insurance contracts with no premium reported and $71,769 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on July 13, 2026, before the deadline.

Participants
973
−0.5% vs 2024
Premiums filed
none
self-funded or not filed
Broker commissions + fees
$71,769
−29.5% vs 2024
Commission rate
n/a
needs insured medical premium

Who was paid on Nicolet National Bank's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Nicolet National Bank filed for 2025.

Broker or agentCommissionsFeesTotalContracts
Selerix Insurance Services · McKinney, TX$33,729$0$33,7292
Custom Benefit Programs · Chicago, IL$22,790$0$22,7902
Aon · Chicago, IL$10,912$0$10,9121
Fernandez, Joe · Plano, TX$4,338$0$4,3381

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
Combined Insurance Companycoverage not coded125—$9,203—
Curalinc LLCcoverage not coded990———
Metropolitan Life Insurance Companyvision1,161———
United Healthcare Insurance Companycoverage not coded644———
Reliastar Life Insurance Companylife, short-term disability, long-term disability1,329—$62,566—

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 Nicolet National Bank 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
Nicolet National Bank
$71,769
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

$101,760$71,769Broker pay20242025
Nicolet National Bank: premiums and broker commissions + fees, 2024 vs 2025
20242025Change
Participants978973−0.5%
Premiums filed$0$0—
Broker commissions + fees$101,760$71,769−29.5%
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
Nicolet National Bank Employee Health and Welfare Benefit Plan#506 · insurance, general assetsDecember 31, 2025July 13, 2026before deadline973

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 Nicolet National Bank pay in health insurance broker commissions in 2025?

Nicolet National Bank's 2025 Form 5500 reports $71,769 in broker commissions and fees across 5 insurance contracts ($71,769 in commissions, $0 in fees), with Selerix Insurance Services receiving the largest share.

Is Nicolet National Bank's health plan self-funded or fully insured?

The 2025 filing indicates the plan is self-funded (the employer pays claims itself).

How does Nicolet National Bank's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Nicolet National Bank 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.