Wisconsin Evangelical Lutheran Synod
Overview
Wisconsin Evangelical Lutheran Synod sponsors a self-funded health plan that covered 3,699 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
- 3,699 · prior year 3,696
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Wisconsin Evangelical Lutheran Synod Veba Group He, plan 501 (3,699 participants)
- Stop-loss carrier
- Blue Cross Blue Shield of Wisconsin
- Broker compensation
- $17K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Delta Dental of Wisconsin | Dental, PPO | 2,060 | $2.3M | $7K |
| Blue Cross Blue Shield of Wisconsin | PPO, Stop-loss | 3,608 | $1.2M | — |
| Sun Life Assurance Company of Canada | Life, Long-term disability | 3,905 | $1.1M | $11K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 3,699 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Wisconsin Evangelical Lutheran Synod
- Sponsor EIN
- 39-1522925
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 39-1522925 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Wisconsin Evangelical Lutheran Synod'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 Wisconsin Evangelical Lutheran Synod.