Form 5500 · Employee benefit plan · PEORIA, IL
SODERSTROM DERMATOLOGY CENTER, S.C.
The filing calls this plan SODERSTROM DERMATOLOGY WRAP PLAN.
SODERSTROM DERMATOLOGY CENTER, S.C. of PEORIA, IL spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is AON RISK SERVICES OF FLORIDA. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 37-1001642 · plan 504 · plan year 2025, filed Mar 31, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
Also declared: other welfare.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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
Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 224 people.
Reported premium across the insured contracts is $2,046,045, with $90,878 in disclosed broker commissions — about 4.4% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
AON RISK SERVICES OF FLORIDA is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including BLUECROSS BLUESHIELD OF ILLINOIS, DEARBORN LIFE INSURANCE COMPANY and STANDARD INSURANCE COMPANY. BLUECROSS BLUESHIELD OF ILLINOIS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health, Dental | 224 | Oct 1, 2025 | $1,953,997 | $78,220 |
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life | 206 | Oct 1, 2025 | $40,458 | $4,919 |
| STANDARD INSURANCE COMPANY | Disability | 52 | Oct 1, 2025 | $31,979 | $4,797 |
| STANDARD INSURANCE COMPANY | Disability | 42 | Oct 1, 2025 | $19,611 | $2,942 |
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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