Blommer Chocolate Company, LLC
Overview
Blommer Chocolate Company, LLC sponsors a self-funded health plan that covered 630 participants in plan year 2025, down 28% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 630 · prior year 875
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Blommer Chocolate Company Group Health Benefit Plan, plan 501 (630 participants)
- Stop-loss carrier
- Blue Cross Blue Shield of Illinois
- Broker compensation
- $256K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Blue Cross Blue Shield of Illinois | Stop-loss | 902 | $7.0M | $104K |
| Kaiser Foundation Health Plan Inc. | Medical, Prescription drug, HMO | 122 | $1.1M | $35K |
| Unum Life Insurance Company of America | Life, Long-term disability | 613 | $458K | $81K |
| Aflac - Continental American Insurance Company | Accident, Critical Illness, Hospital Ind | 258 | $127K | $27K |
| Vision Service Plan | Vision | 480 | $74K | $7K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 630 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Blommer Chocolate Company, LLC
- Sponsor EIN
- 36-0815905
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 36-0815905 in the Department of Labor's EFAST2 Form 5500 search.
About this data
Source: Blommer Chocolate Company, LLC's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Blommer Chocolate Company, LLC.