Form 5500 · Employee benefit plan · SOUTH ELGIN, IL
HOFFER PLASTICS CORPORATION
The filing calls this plan HOFFER PLASTICS HEALTH PLAN.
HOFFER PLASTICS CORPORATION of SOUTH ELGIN, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ASSURED PARTNERS. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-2347537 · plan 501 · plan year 2025, filed Jun 3, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 1 insured contract covering health, dental, disability and stop-loss; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 476 people.
The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.
Reported premium across the insured contracts is $4,059,519, with $95,339 in disclosed broker commissions — about 2.3% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental, Disability, Stop-loss | 476 | Dec 1, 2025 | $4,059,519 | $95,339 |
Premium and claims on this contract
BLUECROSS BLUESHIELD OF ILLINOIS, contract 194184. For the contract year on this filing, the carrier reported $4,059,519 in premium earned and $3,946,820 in claims incurred. Dividing one by the other gives 97%.
- BLUECROSS BLUESHIELD OF ILLINOIS, contract 194184 reported $112,699 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 389 employees, 10 recordable cases, 99 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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