Form 5500 · Employee benefit plan · CHICAGO, IL
OUTFORM GROUP, INC
OUTFORM GROUP, INC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is WILLIS TOWERS WATSON SOUTHEAST INC. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-2059719 · plan 505 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental | 717 | December | $157,226 |
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life, Disability | 456 | December | $11,793 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 158 | December | $9,899 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 2 | December | $687 |
Questions
Who is OUTFORM GROUP, INC's benefits broker?
Per its most recent Form 5500 Schedule A, OUTFORM GROUP, INC's broker of record is WILLIS TOWERS WATSON SOUTHEAST INC.
What insurance carrier does OUTFORM GROUP, INC use?
OUTFORM GROUP, INC's benefit plan is written through BLUECROSS BLUESHIELD OF ILLINOIS, among 4 disclosed carriers.
When does OUTFORM GROUP, INC's group plan renew?
The most recent Schedule A policy period for OUTFORM GROUP, INC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from OUTFORM GROUP, INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.