# BLUE RIVER PETCARE GROUP, LLC EMPLOYEE BENEFITS PLAN

Health and welfare plan sponsored by **BLUE RIVER PETCARE GROUP, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLUE RIVER PETCARE GROUP, LLC |
| EIN | 352489124 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CHICAGO, IL |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $18.6M |
| Participants | 2,622 |
| Persons covered | 2,601 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE CROSS BLUE SHIELD | Health, Dental |
| MUTUAL OF OMAHA INSURANCE COMPANY | STD, LTD, Life, Other |
| KAISER PERMANENTE | Health |
| DEARBORN LIFE INSURANCE COMPANY | Other |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALERA GROUP, INC. | BLUECROSS BLUESHIELD OF ILLNOIS |
| ALERA GROUP, INC. | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| ALERA GROUP, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| ALERA GROUP, INC. | DEARBORN LIFE INSURANCE COMPANY |
| ALERA GROUP, INC. | FIDELITY SECURITY LIFE INSURANCE COMPANY |
| GSG FINANCIAL INC | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |

## 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/352489124-501
- Cite as: PlanOptica, https://planoptica.com/welfare/352489124-501
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