Form 5500 · Employee benefit plan · CHAMPAIGN, IL
CARPET WEAVER'S, INC.
Public Form 5500 records show how CARPET WEAVER'S, INC. (CHAMPAIGN, IL) structures its employee benefits. Its broker of record is CLEMENS & ASSOCIATES LIFE AGENCY. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-1238997 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 32 | December | $13,929 |
| DEARBORN LIFE INSURANCE COMPANY | Life, Disability | 88 | December | $5,683 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 138 | December | $1,780 |
| ASSURITY LIFE INSURANCE COMPANY | — | 3 | December | $69 |
Questions
Who is CARPET WEAVER'S, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, CARPET WEAVER'S, INC.'s broker of record is CLEMENS & ASSOCIATES LIFE AGENCY.
What insurance carrier does CARPET WEAVER'S, INC. use?
CARPET WEAVER'S, INC.'s benefit plan is written through BLUECROSS BLUESHIELD OF ILLINOIS, among 4 disclosed carriers.
When does CARPET WEAVER'S, INC.'s group plan renew?
The most recent Schedule A policy period for CARPET WEAVER'S, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CARPET WEAVER'S, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.