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Form 5500 · Employee benefit plan · HOFFMAN ESTATES, IL

TRANSFORM MIDCO LLC

TRANSFORM MIDCO LLC of HOFFMAN ESTATES, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is STRATEGIC NON-MEDICAL SOLUTIONS LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 24 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
STRATEGIC NON-MEDICAL SOLUTIONS LLC
Insurance carrier
CIGNA HEALTH AND LIFE INSURANCE COMPANY
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-3374195 · plan 501 · as of Aug 2026

Participants
6,085
Carriers on file
25
Disclosed commissions
$175,502
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth908December$270,111$59,771
TRIPLE-S SALUD, INC.Health, Dental67December$638,640$31,932
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth686December$270,111$31,063
KAISER FOUNDATION HEALTH PLAN INC.Health122December$789,291$15,741
KAISER FOUNDATION HEALTH PLAN INC.Health82December$670,398$13,367
CIGNA HEALTH AND LIFE INSURANCE COMPANY—965December$173,438$6,532
METROPOLITAN LIFE INSURANCE COMPANYLife1,504December$981,986$5,604
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.Health28December$196,755$4,070
KAISER FOUNDATION HEALTH PLAN OF GEORGIAHealth17December$144,343$3,059
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth11December$115,289$2,306
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth8December$73,568$1,495
KAISER FOUNDATION HEALTH PLAN, INC.Health1December$18,940$436
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth2December$6,856$126
METROPOLITAN LIFE INSURANCE COMPANYDental3,823December$1,501,307$0
LIFE INSURANCE COMPANY OF NORTH AMERICA—31April$4,189$0
NETCARE LIFE & HEALTH INSURANCEHealth, Dental43December$242,454$0
NEW YORK LIFE GROUP INSURANCE COMPANY OF NY—86April$48,277$0
EYEMED - BASICVision944December$65,917$0
EYEMED - PREMIERVision1,971December$218,550$0
BLUE CROSS BLUE SHIELD OF ILLINOISHealth2,886December$22,946,985$0
METROPOLITAN LIFE INSURANCE COMPANYLife3,839December$393,166$0
LIFE INSURANCE COMPANY OF NORTH AMERICA—3,954December$57,908$0
HAWAII MEDICAL SERVICE ASSOCIATIONHealth26December$262,677$0
LIFE INSURANCE COMPANY OF NORTH AMERICAHealth4,869December$103,062$0
LIFE INSURANCE COMPANY OF NORTH AMERICADisability877April$640,412$0

Questions

Who is TRANSFORM MIDCO LLC's benefits broker?

Per its most recent Form 5500 Schedule A, TRANSFORM MIDCO LLC's broker of record is STRATEGIC NON-MEDICAL SOLUTIONS LLC.

What insurance carrier does TRANSFORM MIDCO LLC use?

TRANSFORM MIDCO LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 25 disclosed carriers.

When does TRANSFORM MIDCO LLC's group plan renew?

The most recent Schedule A policy period for TRANSFORM MIDCO LLC ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from TRANSFORM MIDCO LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.