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Form 5500 · Employee benefit plan · CHICAGO, IL

BMO FINANCIAL CORP

The filing calls this plan BANK OF THE WEST GROUP HEALTH AND WELFARE PLAN.

BMO FINANCIAL CORP of CHICAGO, IL spreads its employee benefits across 10 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is WILLIS TOWERS WATSON US LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 9 other carriers. The plan's most recent policy period ended in August.

Benefits broker of record
Policy year ends
Augustas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 51-0275712 · plan 506 · plan year 2023, filed Jun 17, 2024

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

125 other employer plans in Illinois have policy years ending in August. 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.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
8,364
Active at start of year
8,181
Active at end of year
0
Disclosed commissions
$434,678
Typical renewal
September 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.1,617 of 8,364 participants (19%) on the largest contract
Dentalinsured — DELTA DENTAL OF CALIFORNIA739 of 8,364 participants (8.8%) on the largest contract
Visiondeclared, no contract here says it covers this
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY14,641 of 8,364 participants
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY8,989 of 8,364 participants

Dental: the largest of the 2 insured dental contracts, with DELTA DENTAL OF CALIFORNIA, covers 739 of 8,364 participants (8.8%) on Schedule A.

2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

Also declared: prepaid legal, 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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 14 insured contracts covering health, dental, life, disability and stop-loss.

The filing declares health, dental, life, disability and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.

The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.

Reported premium across the insured contracts is $25,537,249, with $434,678 in disclosed broker commissions — about 1.7% of premium.

The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
RELIASTAR LIFE INSURANCE COMPANYStop-loss4,746Sep 1, 2023$2,977,733$178,664
KAISER FOUNDATION HEALTH PLAN, INC.Health1,617Sep 1, 2023$9,888,719$90,195
METROPOLITAN LIFE INSURANCE COMPANYHealth3,348Aug 6, 2023$502,471$81,191
KAISER FOUNDATION HEALTH PLAN, INC.Health879Sep 1, 2023$4,554,347$40,695
METROPOLITAN LIFE INSURANCE COMPANYHealth2,749Aug 6, 2023$232,468$37,679
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth79Sep 1, 2023$342,432$3,086
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth372Sep 1, 2023$1,774,989$1,961
DELTA DENTAL OF CALIFORNIADental739Sep 1, 2023$76,074$761
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental177Sep 1, 2023$44,683$446
METROPOLITAN LIFE INSURANCE COMPANYDisability8,989Aug 6, 2023$2,419,833$0
METROPOLITAN LIFE INSURANCE COMPANYLife14,641Aug 6, 2023$2,351,680$0
METLIFE LEGAL PLANS—0Sep 1, 2023$212,344$0
ARMADACAREHealth12Aug 7, 2023$155,015$0
NATIONWIDE LIFE INSURANCE COMPANY—10,532Sep 1, 2023$4,461$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BANK OF THE WEST
EIN 94-0475440

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

125 other employer plans in Illinois are September 1 renewals (policy year ends August).

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