Form 5500 · Employee benefit plan · TRENTON, IL
JIM'S FORMAL WEAR LLC
JIM'S FORMAL WEAR LLC of TRENTON, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BROWN AND BROWN OF MINNESOTA, INC.. Coverage is written through EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-1233026 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 255 | December | $0 |
| DELTA DENTAL OF ILLINOIS | Dental | 158 | December | $0 |
| SYMETRA LIFE INSURANCE COMPANY | Life, Disability | 180 | December | $0 |
Questions
Who is JIM'S FORMAL WEAR LLC's benefits broker?
Per its most recent Form 5500 Schedule A, JIM'S FORMAL WEAR LLC's broker of record is BROWN AND BROWN OF MINNESOTA, INC..
What insurance carrier does JIM'S FORMAL WEAR LLC use?
JIM'S FORMAL WEAR LLC's benefit plan is written through EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO., among 3 disclosed carriers.
When does JIM'S FORMAL WEAR LLC's group plan renew?
The most recent Schedule A policy period for JIM'S FORMAL WEAR LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from JIM'S FORMAL WEAR LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.