# JACKS MAINTENANCE SERVICE INC HEALTH & WELFARE WRAP PLAN

Health and welfare plan sponsored by **JACKS MAINTENANCE SERVICE, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | JACKS MAINTENANCE SERVICE, INC. |
| EIN | 391132894 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | NEENAH, WI |
| Industry | Administrative and Waste Management Services |
| Funding | mixed |
| Total premiums | $567K |
| Participants | 159 |
| Persons covered | 278 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SWISS RE CORPORATE SOLUTIONS | Stop-loss |
| DELTA DENTAL OF WISCONSIN | Dental |
| KC LIFE | STD, Life, Other |
| WYSSTA INSURANCE COMPANY INC | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| T I C INC | DELTA DENTAL OF WISCONSIN |
| JERUE GARRETT | KC LIFE |
| BLEIER MARK | KC LIFE |
| T I C INC | WYSSTA INSURANCE COMPANY INC |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/391132894-501
- Cite as: PlanOptica, https://planoptica.com/welfare/391132894-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers