Form 5500 · Employee benefit plan · ROMEROVILLE, IL
FORMERRA, LLC
FORMERRA, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is AON. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 11 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 92-0266140 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 298 | December | $20,342 |
| DELTA DENTAL OF OHIO | Dental | 529 | December | $16,046 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 208 | December | $15,287 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 211 | December | $11,830 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 127 | December | $6,588 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 283 | December | $6,521 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 99 | December | $5,963 |
| COMMUNITY INSURANCE COMPANY | Vision | 444 | December | $2,445 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 297 | December | $2,432 |
| METLIFE LEGAL PLANS | — | 0 | December | $742 |
| IMPACT SOLUTIONS EAP | — | 230 | December | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 525 | December | $0 |
Questions
Who is FORMERRA, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, FORMERRA, LLC's broker of record is AON.
What insurance carrier does FORMERRA, LLC use?
FORMERRA, LLC's benefit plan is written through LIFE INSURANCE COMPANY OF NORTH AMERICA, among 12 disclosed carriers.
When does FORMERRA, LLC's group plan renew?
The most recent Schedule A policy period for FORMERRA, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FORMERRA, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.