Form 5500 · Employee benefit plan · QUINCY, IL
N. KOHL GROCER CO.
The filing calls this plan N KOHL GROCER CO VISION INSURANCE.
Public Form 5500 records show how N. KOHL GROCER CO. of QUINCY, IL, a wholesale trade employer, structures its employee benefits. Its broker of record is HEARTLAND HEALTHCARE COALITION. Coverage is written through VISION SERVICE PLAN. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-0370260 · plan 504 · plan year 2025, filed Sep 11, 2026
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228 other employer plans in Illinois have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
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
The filing discloses a single insured line, vision, through VISION SERVICE PLAN, covering 312 people.
Reported premium across the insured contracts is $39,571, with $1,621 in disclosed broker commissions — about 4.1% of premium.
The most recent policy period ended in June, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| VISION SERVICE PLAN | Vision | 312 | Jul 1, 2025 | $39,571 | $1,621 |
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. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
228 other employer plans in Illinois are July 1 renewals (policy year ends June).
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