# DATA CLEAN LLC HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **DATA CLEAN LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | DATA CLEAN LLC |
| EIN | 330107032 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | DES PLAINES, IL |
| Industry | environmental services |
| Funding | fully insured |
| Total premiums | $1.7M |
| Participants | 229 |
| Persons covered | 230 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Rx, PPO |
| STANDARD INSURANCE COMPANY | Dental, LTD, Other, Life, STD, Vision |
| KAISER PERMANENTE | Health, Rx, HMO |

## Brokers

| Broker | Placed with |
|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED | BLUE CROSS BLUE SHIELDS ILLINOIS |
| LOCKTON COMPANIES, LLC | BLUE CROSS BLUE SHIELDS ILLINOIS |
| HUB INTERNATIONAL MIDWEST LIMITED | KAISER FOUNDATION HEALTH PLAN, INC. |
| HUB INTERNATIONAL MIDWEST LIMITED | STANDARD INSURANCE COMPANY |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/330107032-503
- Cite as: PlanOptica, https://planoptica.com/welfare/330107032-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers