Form 5500 · Employee benefit plan · BOLINGBROOK, IL
DYWIDAG
The filing calls this plan DYWIDAG SYSTEMS INTERNATIONAL U.S.A., INC. WRAP BENEFIT PLAN.
DYWIDAG of BOLINGBROOK, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL MIDWEST LIMITED. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-2635618 · plan 501 · plan year 2025, filed Jul 13, 2026
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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.
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 11 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 256 people.
Reported premium across the insured contracts is $2,723,145, with $126,527 in disclosed broker commissions — about 4.6% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL MIDWEST LIMITED is the broker of record on 2 of the 11 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including BLUECROSS BLUESHIELD OF ILLINOIS, KAISER FOUNDATION HEALTH PLAN, INC., PRUDENTIAL INSURANCE COMPANY OF AMERICA and EYEMED VISION CARE. BLUECROSS BLUESHIELD OF ILLINOIS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 256 | Jan 1, 2026 | $2,438,970 | $94,096 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 147 | Jan 1, 2026 | $59,153 | $18,378 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 134 | Jan 1, 2026 | $13,067 | $4,991 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 8 | Jan 1, 2026 | $123,206 | $3,844 |
| EYEMED VISION CARE | Vision | 296 | Jan 1, 2026 | $13,104 | $3,804 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 32 | Jan 1, 2026 | $6,046 | $1,414 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Disability | 146 | Jan 1, 2026 | $43,530 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | 29 | Jan 1, 2026 | $17,774 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | 16 | Jan 1, 2026 | $4,960 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | 141 | Jan 1, 2026 | $3,265 | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | 8 | Jan 1, 2026 | $70 | $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.
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
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