West Bend Insurance Company

West Bend, WI Finance & insuranceNAICS 524150

Self-funded health planPlan year 2025Renews January
1,667Participants-2% vs. prior year
$4.0MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#8 of 18Finance & insurance in WIBy participants

Overview

West Bend Insurance Company sponsors a self-funded health plan that covered 1,667 participants in plan year 2025, about the same as the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
1,667 · prior year 1,699
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
West Bend Insurance Company Health and Welfare Benefit Plan, plan 501 (1,667 participants)
Stop-loss carrier
Evolution Risk Partners-Everest RE
Broker compensation
$69K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
Standard Insurance CompanyLife, Long-term disability1,603$1.3M$67K
Evolution Risk Partners-Everest REStop-loss1,425$693K—
Metropolitan Life Insurance CompanyVision3,573$251K—
Hartford Fire Insurance CompanyBTA1,601$6K$2K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$4.0M/ year

Estimated prescription spend: 1,667 participants × $2,371 national average per member. Usually higher once dependents are counted.

$103K–$253K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$30K–$75K
Lower-cost therapeutic alternatives$44K–$92K
Generic pricing vs. actual cost$19K–$57K
PBM contract terms$10K–$30K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
West Bend Insurance Company
Sponsor EIN
39-0698170
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 39-0698170 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
West Bend Insurance Company Employee Savings Plan
Type
401(k) plan
Participants
2,001

About this data

Source: West Bend Insurance Company's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with West Bend Insurance Company.

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