Plan Ledger DOL Form 5500 · updated monthly

Formfactor, Inc.benefits

Formfactor, Inc. Group Welfare Benefit Plan · LIVERMORE, CA · plan year 2024

Broker compensation reported · 2024
$78,681

Formfactor, Inc.'s benefits plans covered 1,469 active participants in 2024, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance premiums totaled $10,790,717. Insurance brokers and agents were paid $78,681 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 0.7% of premiums. That is $54 per covered person, in the bottom quarter of employer plans that report broker pay. Broker pay fell 37% from $124,306 in 2023.

Insurance contracts · 202411
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES · health drug dental$10.8M · 1,372 covered
TRUSTMARK INSURANCE COMPANY · lifepremiums n/a · 24 covered
METLIFE LEGAL PLANSpremiums n/a · 204 covered
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST · health drug hmopremiums n/a · 169 covered
FEDERAL INSURANCE COMPANYpremiums n/a · 1,469 covered
KAISER FOUNDATION HEALTH PLAN OF COLORADO · health drug hmopremiums n/a · 37 covered
FOUR EVER LIFE INSURANCE COMPANY · health drugpremiums n/a · 8 covered
METROPOLITAN GENERAL INSURANCE COMPANYpremiums n/a · 229 covered
LINCOLN NATIONAL LIFE INSURANCE COMPANY · life std ltdpremiums n/a · 1,469 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 1,288 covered
CIGNA HEALTH AND LIFE INSURANCE COMPANYpremiums n/a · 1,469 covered
Brokers & agents paid · 20243
BLTC FUNDING, LLC$7,422
MERCER HEALTH AND BENEFITS, LLC$70,747 · incl $23,693 fees
MERCER HEALTH & BENEFITS, LLC$512 · incl $512 fees
Also brokered by Bltc Funding, LLC1

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 133711155 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.