Form 5500 · Employee benefit plan · DOWNERS GROVE, IL
BLUEGRASS NATURAL RESOURCES, LLC
The filing calls this plan BLUEGRASS NATURAL RESOURCES LLC HEALTH AND WELFARE BENEFITS PLAN.
BLUEGRASS NATURAL RESOURCES, LLC of DOWNERS GROVE, IL spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GREGORY SHERROD. Coverage is written through BLUECROSS BLUESHIELD OF TENNESSEE, INC. and 2 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 88-1711423 · plan 501 · plan year 2025, filed Sep 5, 2025
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
107 other employer plans in Illinois have policy years ending in February. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health, life and disability; the largest, with BLUECROSS BLUESHIELD OF TENNESSEE, INC., covers 1,014 people.
The filing declares health, life, disability, dental and vision. Dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $4,758,837, with $304,285 in disclosed broker commissions — about 6.4% of premium.
The most recent policy period ended in February, and the plan year ends February 28. Group contracts typically renew on that annual cycle.
GREGORY SHERROD is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health | 1,014 | Mar 1, 2025 | $3,955,459 | $201,567 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 715 | Mar 1, 2025 | $505,864 | $82,155 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 743 | Mar 1, 2025 | $297,514 | $20,563 |
Premium and claims on this contract
BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 123924. For the contract year on this filing, the carrier reported $3,955,459 in premium earned and $6,388,095 in claims incurred. Dividing one by the other gives 162%.
- BLUECROSS BLUESHIELD OF TENNESSEE, INC., contract 123924 reported $899,701 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Illinois. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
Renewal calendar
107 other employer plans in Illinois are March 1 renewals (policy year ends February).
Their policy years end in February, like this plan’s, so most renew March 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
Claude & ChatGPT
Look up records from Claude or ChatGPT
Add Form5500Lookup to Claude or ChatGPT and ask about any employer, broker or carrier in plain English. Lookups are free. Renewal lists, full books of business and exports are included with a subscription.
Building a list or a tool from these records? Match a list you already have from $29 per 1,000 records, or license the whole dataset as a weekly file for $499 a month. See both
More employer plans in Illinois — largest plans, brokers, carriers and renewal months.