# SHELTERED WINGS, INC. EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **SHELTERED WINGS, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SHELTERED WINGS, INC. |
| EIN | 391649048 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | BARNEVELD, WI |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $6.1M |
| Participants | 429 |
| Persons covered | 516 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | Health, Rx, HMO, PPO, Other |
| DEAN HEALTH PLAN INC | Health, Rx, Other |
| DELTA DENTAL OF WISCONSIN | Dental |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| WYSSTA INSURANCE COMPANY INC | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| MJ INSURANCE | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN |
| MJ INSURANCE | DEAN HEALTH PLAN |
| MJ INSURANCE | DELTA DENTAL OF WISCONSIN |
| MJ INSURANCE | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| MJ INSURANCE | 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/391649048-502
- Cite as: PlanOptica, https://planoptica.com/welfare/391649048-502
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