2025-10-30T13:06:34-05:00 2024-12-31 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR RD SUITE 302 MILWAUKEE WI 532263255 990 2024-01-01 396084300 WISCONSIN WORKERS COMPENSATION INSURANCE WISC 2627964540 20700 SWENSON DR SUITE 100 100 WAUKESHA WI 53186 LAURA VANDE HEY VP - ACCOUNTING AND HUMAN RESOURCES 2627964540 2025-10-24 1 1 BRIAN MECHENICH P00976753 4142717800 2024 2025-03-06 01:10:19Z LAURA VANDE HEY 20700 SWENSON DR SUITE 100 100 WAUKESHA WI 53186 286129659 0 X WWW.WCRB.ORG X 1931 WI STATUTORY WORKER'S COMPENSATION RISK CEDING POOL 10 2 0 13 0 0 0 0 75251121 66616812 2027378 5997783 0 0 77278499 72614595 0 0 59302554 63049855 0 0 0 0 0 395231 382252 59697785 63432107 17580714 9182488 265944800 250582993 140288 2011377 265804512 248571616 THE ORGANIZATION PURPOSE IS TO PROVIDE WORKER'S COMPENSATION INSURANCE TO ANY EMPLOYER WHO IS UNABLE TO OBTAIN COVERAGE IN THE "VOLUNTARY" MARKET. 0 0 THE ORGANIZATION PROVIDES FOR COVERAGE FOR REJECTED WORKER'S COMPENSATION RISKS IN THE STATE OF WISCONSIN 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 2 0 0 0 0 1 0 1 1 1 0 1 1 0 1 1 1 1 1 0 0 0 X X LAURA VANDE HEY 2627964561 20700 SWENSON DRIVE STE 100 WAUKESHA WI 53186 X X AMERICAN HOME ASSURANCE COMMITTEE MEMBER 1.00 X 0 0 0 GENERAL CASUALTY COMPANY COMMITTEE MEMBER 1.00 X 0 0 0 WEST BEND MUTUAL INSURANCE COMMITTEE MEMBER 1.00 X 0 0 0 SOCIETY INSURANCE CO COMMITTEE MEMBER 1.00 X 0 0 0 SFM MUTUAL INSURANCE COMPANY COMMITTEE MEMBER 1.00 X 0 0 0 TRAVELERS INDEMNITY CO COMMITTEE MEMBER 1.00 X 0 0 0 SECURA INSURANCE CO COMMITTEE MEMBER 1.00 X 0 0 0 SENTRY INSURANCE A MUTUAL CO COMMITTEE MEMBER 1.00 X 0 0 0 UNITED WISCONSIN INSURANCE CO COMMITTEE MEMBER 1.00 X 0 0 0 EMPLOYERS INSURANCE COMPANY OF WAUSAU COMMITTEE MEMBER 1.00 X 0 0 0 MIKE LESTER (JAN-JUNE 2024) EMPLOYER REPRESENTATIVE 1.00 X 0 0 0 DAN BURAZIN EMPLOYER REPRESENTATIVE 1.00 X 0 0 0 0 0 0 0 0 0 0 BAIRD ADVISORS 777 EAST WISCONSIN AVE MILWAUKEE WI 53202 INVESTMENT ADVISOR 167149 RMB CAPITAL 10361 W INNOVATION DRIVE SUITE 35 MILWAUKEE WI 53226 INVESTMENT ADVISOR 155105 2 COLLECTED PREMIUMS 900099 69287044 69287044 TRANSFERS IN BANKRUPTCY 900099 9543 9543 CHARGE-OFFS 900099 -853529 -853529 COMMISSIONS 900099 -1826246 -1826246 66616812 9065850 9065850 210446997 213515064 -3068067 -3068067 -3068067 72614595 63548745 0 9065850 63049855 382252 63432107 8818057 6377628 250576193 242278563 6550550 1926802 265944800 250582993 140288 109271 0 1902106 140288 2011377 X 265804512 248571616 265804512 248571616 265944800 250582993 X 9182488 -26415384 X X 0 1 X 1 0 0 US GOVERNMENT SECURITIES 127516672 C US GOV'T AGENCY AND US GOV'T AGENCY GUARANTEED SECURITIES 6803602 C CORPORATE SECURITIES 81378537 C TRUST FUNDS 5356290 C MUNICIPAL BONDS 1440181 C FOREIGN ISSUES 19783281 C 242278563 DISBURSEMENTS, DECLARED BUT NOT DISTRIBUTED 1602355 NET DUE TO SERVICING COMPANIES 299751 1902106 X 72811425 579082 579082 72232343 382252 382252 72614595 63049855 0 63049855 382252 382252 63432107 PART X, LINE 2: THE WISCONSIN WORKERS' COMPENSATION INSURANCE POOL (POOL) IS EXEMPT FROM UNITED STATES INCOME TAXES AS PROVIDED BY SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. THE POOL IS EXEMPT FROM WISCONSIN INCOME TAXES. UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, MANAGEMENT IS REQUIRED TO EVALUATE ANY UNCERTAIN TAX POSITIONS TAKEN, IF ANY, AND PROVIDE ADDITIONAL DISCLOSURES. AT THIS TIME, THE POOL DOES NOT BELIEVE IT HAS TAKEN ANY UNCERTAIN TAX POSITIONS THAT MAY HAVE A MATERIAL EFFECT ON ITS FINANCIAL STATEMENTS OR NOTE DISCLOSURES. PART XI, LINE 2D - OTHER ADJUSTMENTS: AMORTIZATION PREMIUM ON INVESTMENTS 579,082. FORM 990, PART VI, SECTION A, LINE 1A THE TWO EMPLOYER REPRESENTATIVE BOARD MEMBERS DO NOT HAVE VOTING RIGHTS TO VOTE ON BUDGET AND OPERATING EXPENSES OF THE POOL. THEY CAN VOTE ON ALL OTHER MATTERS. FORM 990, PART VI, SECTION A, LINE 6 THE WISCONSIN COMPENSATION RATING BUREAU ("BUREAU") ACTS AS TRUSTEE FOR THE WISCONSIN WORKER'S COMPENSATION INSURANCE POOL ("POOL"). THE WCRB GOVERNING BOARD IS GIVEN COMPLETE CHARGE AND MANAGEMENT OF THE AFFAIRS OF THE BUREAU UNDER THE AUTHORITY OF ARTICLE VII OF THE BUREAU BYLAWS. THE GOVERNING BOARD CONSISTS OF FIVE STOCK AND FIVE NON STOCK INSURER REPRESENTATIVES ELECTED BY MEMBERS OF THE BUREAU; AND TWO EMPLOYER REPRESENTATIVES ELECTED BY THE GOVERNOR. FORM 990, PART VI, SECTION A, LINE 7B THE WWCIP OPERATES UNDER THE STATUTES OF THE STATE OF WISCONSIN 2019-2020, WHICH PROVIDES, IN PART, AS FOLLOWS: 619.01 MANDATORY RISK-SHARING PLANS INSURANCE OF REJECTED WORKMEN'S COMPENSATION RISKS AS PROVIDED BY THE WISCONSIN ADMINISTRATIVE CODE. (1) MANDATORY PLANS (A)ESTABLISHMENT OF PLANS. - IF THE COMMISSIONER FINDS AFTER A HEARING THAT IN ANY PART OF THIS STATE, WORKER'S COMPENSATION INSURANCE, IS NOT READILY AVAILABLE IN THE VOLUNTARY MARKET, AND THAT THE PUBLIC INTEREST REQUIRES THAT AVAILABILITY, THE COMMISSIONER MAY BY RULE EITHER PROMULGATE PLANS TO PROVIDE SUCH INSURANCE COVERAGES FOR ANY RISKS IN THIS STATE THAT ARE EQUITABLY ENTITLED TO, BUT OTHERWISE UNABLE TO OBTAIN, THAT COVERAGE, OR MAY CALL UPON THE INSURANCE INDUSTRY TO PREPARE PLANS FOR THE COMMISSIONER'S APPROVAL. (B)PURPOSES AND CONTENTS OF RISK-SHARING PLANS. THE PLAN PROMULGATED OR PREPARED UNDER PAR. (A) SHALL: 1. GIVE CONSIDERATION TO THE NEED FOR ADEQUATE AND READILY ACCESSIBLE COVERAGE, TO ALTERNATIVE METHODS OF IMPROVING THE MARKET AFFECTED, TO THE PREFERENCES OF THE INSURERS AND AGENTS, TO THE INHERENT LIMITATIONS OF THE INSURANCE MECHANISM, TO THE NEED FOR REASONABLE UNDERWRITING STANDARDS, AND TO THE REQUIREMENT OF REASONABLE LOSS PREVENTION MEASURES; 2. ESTABLISH PROCEDURES THAT WILL CREATE MINIMUM INTERFERENCE WITH THE VOLUNTARY MARKET; 3. SPREAD THE BURDEN IMPOSED BY THE FACILITY EQUITABLY AND EFFICIENTLY WITHIN THE INDUSTRY; AND 4. ESTABLISH PROCEDURES FOR APPLICANTS AND PARTICIPANTS TO HAVE GRIEVANCES REVIEWED BY AN IMPARTIAL BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATIONS MANAGEMENT FOR REVIEW PRIOR TO FILING AND IS MADE AVAILABLE TO GOVERNING BOARD MEMBERS UPON FINALIZATION. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY PERSONNEL ARE REQUIRED TO SIGN A "CODE OF ETHICS AND STANDARDS OF PROFESSIONAL CONDUCT" YEARLY. FORM 990, PART VI, SECTION C, LINE 18 PUBLIC INSPECTION OF DOCUMENTS AVAILABLE ONLINE AT WWW.WCRB.ORG FORM 990, PART VI, SECTION C, LINE 19 PUBLIC INSPECTION OF DOCUMENTS AVAILABLE ONLINE AT WWW.WCRB.ORG FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC AMERICAN HOME ASSURANCE - 175 WATER STREET, NEW YORK, NY 10038. GENERAL CASUALTY COMPANY - 30 WEST MONROE, SUITE 510, CHICAGO, IL 60603. WEST BEND MUTUAL INSURANCE - 1900 SOUTH 18TH AVE., WEST BEND, WI 53095. SOCIETY INSURANCE CO - 150 CAMELOT DR, FOND DU LAC, WI 54936. SFM MUTUAL INSURANCE COMPANY - 3500 AMERICAN BLVD W #700, BLOOMINGTON, MN 55431. TRAVELERS INDEMNITY CO - 1 TOWER SQUARE, HARTFORD, CT 06183. SECURA INSURANCE CO - 2401 SOUTH MEMORIAL DR, APPLETON, WI 54912. SENTRY INSURANCE A MUTUAL CO - 1800 NORTH POINT DR, STEVENS POINT, WI 54481. UNITED WISCONSIN INSURANCE CO - P.O. BOX 3026, MILWAUKEE, WI 53201. EMPLOYERS INSURANCE COMPANY OF WAUSAU - P.O. BOX 327, BROOKFIELD, WI 53005. MIKE LESTER (JAN-JUNE 2024) - P.O. BOX 8090, WAUSAU, WI 54402. DAN BURAZIN - 1800 NORTH POINT DR, STEVENS POINT, WI 54481. FORM 990, PART VII ALL MEMBERS OF THE GOVERNING COMMITTEE SERVE WITHOUT COMPENSATION AND WITHOUT REIMBURSEMENT OF EXPENSES INCURRED IN THEIR DUTIES. TIME DEVOTED TO THE ORGANIZATION CANNOT BE REASONABLY ESTIMATED AND ACTUAL TIME IS UNKNOWN. FORM 990, PART XI, LINE 9: DISBURSEMENTS DECLARED, NOT DISTRIB -26,994,466. AMORTIZATION PREMIUM ON INVESTMENTS 579,082. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR FORM 990, PART XI, LINE 9 THE POOL RULES REQUIRE THAT AN ASSESSMENT BE LEVIED AND COLLECTED OR A DISTRIBUTION BE DECLARED AND DISTRIBUTED, RESPECTIVELY, IN AN AMOUNT SUFFICIENT TO BRING THE VALUE OF THE NET ASSETS UP OR DOWN TO THE AGGREGATE ESTIMATED VALUES OF SUCH CLAIMS. THE AMOUNT DECLARED AND TO BE DISTRIBUTED FOR 2023 TO BRING THE NET ASSETS DOWN TO THE AGGREGATE ESTIMATED VALUES OF SUCH CLAIMS WAS $26,994,466. SCHEDULE R (FORM 990), PART V, LINE 1N ADMINISTRATIVE SERVICES ARE PROVIDED TO THE WISCONSIN WORKER'S COMPENSATION INSURANCE POOL (WWCIP) BY THE WISCONSIN COMPENSATION RATING BUREAU (BUREAU). SINCE THE ADMINISTRATION OF THE POOL BY THE BUREAU IS PROVIDED FOR BY THE STATUTES OF THE STATE OF WISCONSIN, THE POOL DOES NOT REIMBURSE THE BUREAU. WISCONSIN COMPENSATION RATING BUREAU 20700 SWENSON DR WAUKESHA WI 53186 390712330 RATING WORKERS COMPENSATION RISKS WI 501 (C) (6) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0