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Form 5500 · Employee benefit plan · TINLEY PARK, IL

CARL BUDDIG AND COMPANY

The filing calls this plan BUDDIG EMPLOYEES WELFARE BENEFIT PLAN.

CARL BUDDIG AND COMPANY of TINLEY PARK, IL is a 1,284-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 1 other carrier. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-2169888 · plan 501 · plan year 2025, filed Jul 31, 2026

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

81 other employer plans in Illinois have policy years ending in October. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Self-funded as reported

The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.

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
1,284
Active at start of year
1,284
Active at end of year
1,394
Disclosed commissions
$169,457
Typical renewal
November 1

Benefits declared on this filing

Healthdeclared, no contract here says it covers this
Dentaldeclared under plan 503
Visionnot declared on this filing
Lifeinsured — SUN LIFE ASSURANCE COMPANY OF CANADA1,394 of 1,284 participants
Disabilitydeclared, no contract here says it covers this

One contract on this filing does not say which benefits it covers, so a line above may be insured by it.

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 life and stop-loss; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 1,991 people.

The filing declares life, health and disability. Health and disability appear 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 the contract here that does not say what it covers.

The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $2,154,318 in premium and $104,253 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.

Reported premium across the insured contracts is $2,480,336, with $169,457 in disclosed broker commissions — about 6.8% of premium.

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

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUECROSS BLUESHIELD OF ILLINOISStop-loss1,991Nov 1, 2025$2,154,318$104,253
SUN LIFE ASSURANCE COMPANY OF CANADALife1,394Nov 1, 2025$326,018$65,204
SUN LIFE ASSURANCE COMPANY OF CANADA—0Nov 1, 2025—$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

BLUE CROSS/BLUE SHIELD
Contract administrator · EIN 36-1236610
$1,725,156
paid directly by the plan
CLIFTONLARSONALLEN LLP
Accounting and audit · EIN 41-0746749
$20,475
paid directly by the plan
SUN LIFE ASSURANCE CO OF CANANDA
Claims processing · EIN 38-1082080
$17,617
paid directly by the plan

Named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 2,579 employees, 26 recordable cases, 677 days away from work.

EmployeesThe company's own average for the year
2,579
Hours worked
4,868,752
Recordable cases
26
Days away from work
677
Establishments filed under this EIN
8

Source: OSHA Injury Tracking Application establishment data, 2025.

Money the plan held and paid out

Plan assets at year end
$2,572,439
Paid out in benefits
$15,827,875
Paid to insurance carriersSchedule H, line 2e(2)
$2,493,120
Independent accountantEIN 41-0746749
CLIFTONLARSONALLEN LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

How this plan compares

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Renewal calendar

81 other employer plans in Illinois are November 1 renewals (policy year ends October).

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