| Entity Name: | WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Date Formed: | 07 Jul 2021 (Companies founded in July 2021) |
| Business ALEI: | 2305231 |
| Annual report due: | 07 Jul 2025 |
| NAICS code: | 524114 - Direct Health and Medical Insurance Carriers |
| Business address: | 1717 WEST BROADWAY, MADISON, WI, 53708, United States |
| Mailing address: | PO Box 8190, MADISON, WI, United States, 53708 |
| Place of Formation: | WISCONSIN |
| E-Mail: | oci@wpsic.com |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Frank Gumina | Officer | 1717 W Broadway, Madison, WI, 53708, United States | 1717 W Broadway, Madison, WI, 53708, United States |
| Stephen Skoronski | Officer | 1717 WEST BROADWAY, MADISON, WI, 53708, United States | 1717 WEST BROADWAY, MADISON, WI, 53708, United States |
| Vicki Bernards | Officer | 1717 WEST BROADWAY, MADISON, WI, 53708, United States | 1717 WEST BROADWAY, MADISON, WI, 53708, United States |
| Kim Sponem | Officer | No data | 1709 Landmark Drive, Cottage Grove, WI, 53527, United States |
| Wendy Perkins | Officer | 1717 W Broadway, Madison, WI, 53708, United States | 1717 W Broadway, Monona, WI, 53713-1834, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Stephen Skoronski | Director | 1717 WEST BROADWAY, MADISON, WI, 53708, United States | 1717 WEST BROADWAY, MADISON, WI, 53708, United States |
| Wendy Perkins | Director | 1717 W Broadway, Madison, WI, 53708, United States | 1717 W Broadway, Monona, WI, 53713-1834, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012134752 | 2024-06-26 | No data | Annual Report | Annual Report | No data |
| BF-0011102211 | 2023-07-06 | No data | Annual Report | Annual Report | No data |
| BF-0010255303 | 2022-06-27 | No data | Annual Report | Annual Report | 2022 |
| BF-0010453375 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| BF-0010086362 | 2021-07-07 | No data | Business Registration | Certificate of Authority | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
