Form 5500 · Employee benefit plan · WILMINGTON, DE
FORBO AMERICA SERVICES, INC.
FORBO AMERICA SERVICES, INC. of WILMINGTON, DE spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is ROBERT KENNEDY. Coverage is written through BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-3765120 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, covers 574 people.
Reported premium across the insured contracts is $6,277,689, with $32,623 in disclosed broker commissions — about 0.5% 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.
ROBERT KENNEDY is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing — BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, HARTFORD LIFE AND ACCIDENT, UNITEDHEALTHCARE INSURANCE COMPANY and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. among them — with BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA | Health | 574 | December | $5,703,513 | $32,623 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 648 | December | $218,056 | $4 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 511 | December | $26,640 | $0 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 568 | December | $320,955 | $0 |
| UNUM INSURANCE COMPANY | — | 318 | December | $8,525 | $-4 |
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