# BLOMMER CHOCOLATE COMPANY GROUP HEALTH BENEFIT PLAN

Health and welfare plan sponsored by **BLOMMER CHOCOLATE COMPANY, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | BLOMMER CHOCOLATE COMPANY, LLC |
| EIN | 360815905 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | CHICAGO, IL |
| Industry | food production |
| Funding | mixed |
| Total premiums | $8.8M |
| Participants | 630 |
| Persons covered | 902 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Stop-loss |
| KAISER PERMANENTE | Health, Rx, HMO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| AFLAC | Other |
| VISION SERVICE PLAN (VSP) | Vision |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Other |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| MARSH & MCLENNAN AGENCY LLC | KAISER FOUNDATION HEALTH PLAN INC. |
| MARSH & MCLENNAN AGENCY LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| MARSH & MCLENNAN AGENCY LLC | AFLAC - CONTINENTAL AMERICAN INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | VISION SERVICE PLAN |
| MARSH & MCLENNAN AGENCY LLC | CIGNA HEALTH AND LIFE 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/360815905-501
- Cite as: PlanOptica, https://planoptica.com/welfare/360815905-501
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