# ST. CROIX OF PARK FALLS, LTD. EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **ST. CROIX OF PARK FALLS, LTD**. Form 5500 filing for plan year 2026.

| Field | Value |
|---|---|
| Sponsor | ST. CROIX OF PARK FALLS, LTD |
| EIN | 391287923 |
| Plan number | 505 |
| Plan year | 2026 |
| Location | PARK FALLS, WI |
| Industry | Manufacturing |
| Funding | mixed |
| Total premiums | $123K |
| Participants | 140 |
| Persons covered | 151 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| DELTA DENTAL OF WISCONSIN | Dental |
| SUN LIFE FINANCIAL | Life, LTD, Other |
| METLIFE LEGAL PLANS | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ANSAY & ASSOCIATES LLC | DELTA DENTAL OF WISCONSIN |
| ANSAY & ASSOCIATES LLC | SUN LIFE ASSURANCE COMPANY OF CANADA |
| ANSAY & ASSOCIATES LLC | NATIONAL VISION ADMINISTRATORS, L.L.C. |

## 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/391287923-505
- Cite as: PlanOptica, https://planoptica.com/welfare/391287923-505
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