# GOELLNER INC EMPLOYER GROUP HEALTH PLAN

Health and welfare plan sponsored by **GOELLNER, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | GOELLNER, INC. |
| EIN | 364348436 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | ROCKFORD, IL |
| Industry | Manufacturing |
| Funding | mixed |
| Total premiums | $12.0M |
| Participants | 594 |
| Persons covered | 1,376 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Other, Life, LTD |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Life |
| METLIFE LEGAL PLANS | Other |

## Brokers

| Broker | Placed with |
|---|---|
| FIRST BENEFITS CORPORATION | BLUE CROSS AND BLUE SHIELD OF ILLINOIS |
| FIRST BENEFITS CORPORATION | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| GIS BENEFITS INC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| FIRST BENEFITS CORPORATION | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| BENEFIT PLANNING SERVICES INC | AMERICAN HERITAGE LIFE INSURANCE COMPANY |
| FIRST BENEFITS CORPORATION | METROPOLITAN LIFE INSURANCE COMPANY |
| GIS BENEFITS INC | METROPOLITAN LIFE INSURANCE COMPANY |
| BOON CHAPMAN BENEFIT ADMINISTRATORS | METROPOLITAN 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/364348436-502
- Cite as: PlanOptica, https://planoptica.com/welfare/364348436-502
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