Form 5500 · Employee benefit plan · CHICAGO, IL
PUTTSHACK USA INC.
PUTTSHACK USA INC. of CHICAGO, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is YORK INTERNATIONAL AGENCY, LLC. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-4008001 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 411 | December | $125,857 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 284 | December | $38,882 |
Questions
Who is PUTTSHACK USA INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PUTTSHACK USA INC.'s broker of record is YORK INTERNATIONAL AGENCY, LLC.
What insurance carrier does PUTTSHACK USA INC. use?
PUTTSHACK USA INC.'s benefit plan is written through BLUECROSS BLUESHIELD OF ILLINOIS, among 2 disclosed carriers.
When does PUTTSHACK USA INC.'s group plan renew?
The most recent Schedule A policy period for PUTTSHACK USA INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PUTTSHACK USA INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.