Form 5500 · Employee benefit plan · BLOOMINGDALE, IL
ABRASIVE-FORM LLC
ABRASIVE-FORM LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is USI INSURANCE SERVICES NORTHWEST. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-5282271 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental | 324 | December | $72,292 |
| STANDARD INSURANCE COMPANY | Life, Disability | 232 | December | $13,777 |
| DEARBORN LIFE INSURANCE COMPANY | Vision | 148 | December | $2,616 |
Questions
Who is ABRASIVE-FORM LLC's benefits broker?
Per its most recent Form 5500 Schedule A, ABRASIVE-FORM LLC's broker of record is USI INSURANCE SERVICES NORTHWEST.
What insurance carrier does ABRASIVE-FORM LLC use?
ABRASIVE-FORM LLC's benefit plan is written through BLUECROSS BLUESHIELD OF ILLINOIS, among 3 disclosed carriers.
When does ABRASIVE-FORM LLC's group plan renew?
The most recent Schedule A policy period for ABRASIVE-FORM LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ABRASIVE-FORM LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.