Form 5500 · Employee benefit plan · CAROL STREAM, IL
MT INTERMEDIATE HOLDINGS, LLC
MT INTERMEDIATE HOLDINGS, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is COLLEEN M ROOS. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-2210441 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 559 | June | $65,607 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental | 473 | October | $34,959 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Dental | 539 | June | $21,640 |
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life, Disability | 402 | June | $21,101 |
Questions
Who is MT INTERMEDIATE HOLDINGS, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, MT INTERMEDIATE HOLDINGS, LLC's broker of record is COLLEEN M ROOS.
What insurance carrier does MT INTERMEDIATE HOLDINGS, LLC use?
MT INTERMEDIATE HOLDINGS, LLC's benefit plan is written through BLUECROSS BLUESHIELD OF ILLINOIS, among 4 disclosed carriers.
When does MT INTERMEDIATE HOLDINGS, LLC's group plan renew?
The most recent Schedule A policy period for MT INTERMEDIATE HOLDINGS, LLC ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MT INTERMEDIATE HOLDINGS, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.