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Sponsor portfolioWelfare / HealthEIN 33-2249731

JIM'S FORMAL WEAR, INC.

804 EAST BROADWAY · TRENTON, IL 62293
6182249211
Plans filed
1
Years active
2025–2025
Industry
NAICS 53
Latest filing
2025
Total premiums (latest)
$233K
No prior year
Persons covered
274
No prior year
Total participants
144
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$233K
JIMS FORMAL WEAR, INC. EMPLOYEE BENEFITS PLAN
Mixed274 covered·3 carriers
Primary: SYMETRA LIFE INSURANCE COMPANY

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Life$131K20.9%
Short-term disability$131K20.9%
Long-term disability$131K20.9%
Other$131K20.9%
Dental$89K14.2%
Vision$13K2.0%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
SYMETRA LIFE INSURANCE COMPANY
EIN 910742147
LSTDLTDOth
$131K56.4%11274
DELTA DENTAL OF CALIFORNIA
EIN 362612058
D
$89K38.1%11144
EYEMED VISION CARE
EIN 430949844
V
$13K5.5%11216

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
HEFFERNAN INSURANCE BROKERS—SYMETRA LIFE INSURANCE COMPANY$0$7K$7K100.0%1

Policy details

Latest year, by plan
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