Form 5500 · Employee benefit plan · ROCKFORD, IL
GOELLNER, INC.
GOELLNER, INC. of ROCKFORD, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is FIRST BENEFITS GROUP INC. Coverage is written through BLUE CROSS AND BLUE SHIELD OF ILLINOIS and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-4348436 · plan 502 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF ILLINOIS | Health, Dental | 1,376 | December | $11,439,437 | $435,279 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 675 | December | $250,529 | $46,546 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 1,104 | December | $132,773 | $24,594 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 603 | December | $97,552 | $18,110 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | — | December | — | $12,115 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 138 | December | $51,941 | $9,403 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 331 | December | $37,115 | $6,822 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | Life | 5 | December | $1,508 | $43 |
Questions
Who is GOELLNER, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, GOELLNER, INC.'s broker of record is FIRST BENEFITS GROUP INC.
What insurance carrier does GOELLNER, INC. use?
GOELLNER, INC.'s benefit plan is written through BLUE CROSS AND BLUE SHIELD OF ILLINOIS, among 8 disclosed carriers.
When does GOELLNER, INC.'s group plan renew?
The most recent Schedule A policy period for GOELLNER, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GOELLNER, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.