# ONE COMMUNITY BANK WRAP PLAN

Health and welfare plan sponsored by **ONE COMMUNITY BANK**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ONE COMMUNITY BANK |
| EIN | 391229545 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | OREGON, WI |
| Industry | banking |
| Funding | fully insured |
| Total premiums | $2.4M |
| Participants | 220 |
| Persons covered | 209 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| DEAN HEALTH PLAN INC | Health |
| STANDARD INSURANCE COMPANY | STD, Life, Other, Indemnity, LTD |
| DELTA DENTAL OF WISCONSIN | Dental |
| WYSSTA INSURANCE COMPANY INC | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| M3 INSURANCE SOLUTIONS INC | DEAN HEALTH PLAN INC |
| M3 INSURANCE SOLUTIONS INC | DELTA DENTAL OF WISCONSIN |
| M3 INSURANCE SOLUTIONS INC | STANDARD INSURANCE COMPANY |
| JENNON CARUTH | STANDARD INSURANCE COMPANY |
| ALERA GROUP, INC. | STANDARD INSURANCE COMPANY |
| C2 CENTRIC LLC | STANDARD INSURANCE COMPANY |
| M3 INSURANCE SOLUTIONS 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/391229545-502
- Cite as: PlanOptica, https://planoptica.com/welfare/391229545-502
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers