# KENOSHA HUMAN DEVELOPMENT SERVICES, INC. HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **KENOSHA HUMAN DEVELOPMENT SERVICES, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | KENOSHA HUMAN DEVELOPMENT SERVICES, INC. |
| EIN | 391200678 |
| Plan number | 512 |
| Plan year | 2025 |
| Location | KENOSHA, WI |
| Industry | individual & family services |
| Funding | mixed |
| Total premiums | $1.4M |
| Participants | 116 |
| Persons covered | 151 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health |
| MUTUAL OF OMAHA INSURANCE COMPANY | Other, Life |
| WYSSTA INSURANCE COMPANY INC | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| VIZANCE, INC. | UNITED HEALTHCARE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | UNITED HEALTHCARE INSURANCE COMPANY |
| VIZANCE, INC. | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| VIZANCE, INC. | WYSSTA INSURANCE COMPANY |

## 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/391200678-512
- Cite as: PlanOptica, https://planoptica.com/welfare/391200678-512
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