Form 5500 · Employee benefit plan · HELENA, MT
MT BLOOM HOLDINGS, LLC
MT BLOOM HOLDINGS, LLC of HELENA, MT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is LEAVITT GREAT WEST INS SVCS LLC. Coverage is written through BLUECROSS BLUESHIELD OF MONTANA and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-3254440 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF MONTANA | Health, Dental | 175 | August | $49,946 |
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life | 257 | August | $2,236 |
Questions
Who is MT BLOOM HOLDINGS, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, MT BLOOM HOLDINGS, LLC's broker of record is LEAVITT GREAT WEST INS SVCS LLC.
What insurance carrier does MT BLOOM HOLDINGS, LLC use?
MT BLOOM HOLDINGS, LLC's benefit plan is written through BLUECROSS BLUESHIELD OF MONTANA, among 2 disclosed carriers.
When does MT BLOOM HOLDINGS, LLC's group plan renew?
The most recent Schedule A policy period for MT BLOOM HOLDINGS, LLC ended in August. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MT BLOOM HOLDINGS, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.