Form 5500 · Employee benefit plan · CHAMPION, MI
EAGLE MINE LLC
EAGLE MINE LLC of CHAMPION, MI files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HEATHER MOSHER. Coverage is written through BLUE CROSS BLUE SHIELD OF MICHIGAN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 06-1690732 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MICHIGAN | Health, Dental, Vision | 1,007 | December | $167,214 |
| GUARDIAN | Life, Disability | 360 | December | $23,513 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 115 | December | $19,851 |
Questions
Who is EAGLE MINE LLC's benefits broker?
Per its most recent Form 5500 Schedule A, EAGLE MINE LLC's broker of record is HEATHER MOSHER.
What insurance carrier does EAGLE MINE LLC use?
EAGLE MINE LLC's benefit plan is written through BLUE CROSS BLUE SHIELD OF MICHIGAN, among 3 disclosed carriers.
When does EAGLE MINE LLC's group plan renew?
The most recent Schedule A policy period for EAGLE MINE LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from EAGLE MINE LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.