Form 5500 · Employee benefit plan · DOWNERS GROVE, IL
TRI CITY FOODS, INC.
The filing calls this plan TRI CITY FOODS, INC. EMPLOYEE BENEFITS PLAN.
TRI CITY FOODS, INC. of DOWNERS GROVE, IL spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is THE PLEXUS GROUPE LLC. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 3 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-1813575 · plan 501 · plan year 2026, filed Sep 8, 2026
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107 other employer plans in Illinois have policy years ending in February. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Also declared: prepaid legal, 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 11 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 2,459 people.
The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.
Reported premium across the insured contracts is $8,272,674, with $1,376,244 in disclosed broker commissions — about 17% of premium.
The most recent policy period ended in February, and the plan year ends February 28. Group contracts typically renew on that annual cycle.
THE PLEXUS GROUPE LLC is the broker of record on 5 of the 11 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN TOWER LIFE INSURANCE COMPANY | Life | 2,429 | Mar 1, 2026 | $1,385,342 | $352,884 |
| BLUECROSS BLUESHIELD OF ILLINOIS | Stop-loss | 2,459 | Mar 1, 2026 | $2,060,369 | $315,599 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 325 | Mar 1, 2026 | $192,721 | $195,297 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 3,569 | Mar 1, 2026 | $1,952,867 | $188,868 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 920 | Mar 1, 2026 | $819,847 | $146,608 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 1,878 | Mar 1, 2026 | $533,700 | $95,568 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 1,150 | Mar 1, 2026 | $464,423 | $77,402 |
| METLIFE LEGAL PLANS | — | 171 | Mar 1, 2026 | $32,749 | $4,018 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 1,358 | Mar 1, 2026 | $397,588 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 2,170 | Mar 1, 2026 | $322,266 | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 2,170 | Mar 1, 2026 | $110,802 | $0 |
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.
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