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Sponsor portfolioWelfare / HealthEIN 39-0147840

BANK OF LUXEMBURG

630 MAIN STREET · LUXEMBURG, WI 542171114
9208452345
Plans filed
1
Years active
2018–2025
Industry
NAICS 52
Latest filing
2025
Total premiums (latest)
$2.6M
No prior year
Persons covered
1,116
No prior year
Total participants
103
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$2.6M
BANK OF LUXEMBURG WELFARE WRAP PLAN
Fully insured1,116 covered·6 carriers
Primary: DELTA DENTAL OF WISCONSIN

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Dental$1.3M46.7%
Health$1.1M39.1%
Other$120K4.2%
Life$88K3.1%
Short-term disability$88K3.1%
Long-term disability$88K3.1%
Vision$17K0.6%

Carrier overview

5 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
DELTA DENTAL OF CALIFORNIA
EIN 396094742
D
$1.3M51.5%111,116
PREVEA360 HEALTH PLAN
EIN 391535024
H
$1.1M43.2%1178
UNUM LIFE INSURANCE COMPANY OF AMERICA
EIN 042381280
LSTDLTDOth
$116K4.5%12100
SUPERIOR DENTAL CARE
EIN 391736329
V
$17K0.7%11219
EMPLOYEE NETWORK, INC.
EIN 391743189
Oth
$4K0.2%11108

Broker overview

3 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
W B A-EMPLOYEE BENEFITS CORPMADISON, WIDELTA DENTAL OF WISCONSIN$63K$0$63K62.8%1
COTTINGHAM & BUTLERDUBUQUE, IAUNUM LIFE INSURANCE COMPANY OF AMERICA, UNUM INSURANCE COMPANY, PREVEA360 HEALTH PLAN$32K$4K$36K35.9%1
WBA EMPLOYEE BENEFITS CORPMADISON, WISUPERIOR VISION INSURANCE PLAN OF WISCONSIN INC.$1K$0$1K1.3%1

History & trajectory

8 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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