Form 5500 · Employee benefit plan · MADISON, WI
EVIDENT CHANGE
Public Form 5500 records show how EVIDENT CHANGE (MADISON, WI) structures its employee benefits. Its broker of record is CRISTY JONES INSURANCE SVCS., INC.. Coverage is written through BLUE CROSS AND BLUE SHIELD OF WISCONSIN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-1624111 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF WISCONSIN | Health, Dental, Vision | 219 | December | $74,037 |
| ANTHEM LIFE INSURANCE COMPANY | Life, Disability | 153 | December | $14,211 |
| CLAREMONT BEHAVIORAL SERVICES, INC. | — | 150 | May | $0 |
Questions
Who is EVIDENT CHANGE's benefits broker?
Per its most recent Form 5500 Schedule A, EVIDENT CHANGE's broker of record is CRISTY JONES INSURANCE SVCS., INC..
What insurance carrier does EVIDENT CHANGE use?
EVIDENT CHANGE's benefit plan is written through BLUE CROSS AND BLUE SHIELD OF WISCONSIN, among 3 disclosed carriers.
When does EVIDENT CHANGE's group plan renew?
The most recent Schedule A policy period for EVIDENT CHANGE ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from EVIDENT CHANGE's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.