Form 5500 · Employee benefit plan · SYCAMORE, IL
UPSTAGING, INC.
UPSTAGING, INC. of SYCAMORE, IL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is KEYSTONE INSURANCE & BENEFITS GROUP. Coverage is written through BLUECROSS BLUESHIELD OF ILLINOIS and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-2790019 · plan 504 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental and life; the largest, with BLUECROSS BLUESHIELD OF ILLINOIS, covers 324 people.
Reported premium across the insured contracts is $4,198,540, with $204,775 in disclosed broker commissions — about 4.9% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
KEYSTONE INSURANCE & BENEFITS GROUP is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — BLUECROSS BLUESHIELD OF ILLINOIS, METROPOLITAN LIFE INSURANCE COMPANY and DEARBORN LIFE INSURANCE COMPANY — with BLUECROSS BLUESHIELD OF ILLINOIS writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS | Health | 324 | June | $4,037,712 | $182,050 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 279 | June | $138,598 | $20,613 |
| DEARBORN LIFE INSURANCE COMPANY | Life | 181 | June | $22,230 | $2,112 |
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