Form 5500 · Employee benefit plan · LOUISVILLE, KY
ADAPTIVE COMMUNITY SUPPORT SERVICES
The filing calls this plan ADAPTIVE COMMUNITY SUPPORT SERVICES EMPLOYEE WELFARE PLAN.
ADAPTIVE COMMUNITY SUPPORT SERVICES of LOUISVILLE, KY files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ASSUREDPARTNERS. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-3746811 · plan 501 · plan year 2025, filed Jan 15, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits, 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.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 135 people.
Reported premium across the insured contracts is $291,456, with $37,150 in disclosed broker commissions — about 13% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
ASSUREDPARTNERS is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and METROPOLITAN LIFE INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 135 | Aug 1, 2025 | $173,817 | $20,825 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 153 | Aug 1, 2025 | $98,810 | $9,660 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 35 | Aug 1, 2025 | $6,734 | $2,524 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 58 | Aug 1, 2025 | $6,705 | $2,251 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 64 | Aug 1, 2025 | $5,390 | $1,890 |
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.
Reported to OSHA
Reported to OSHA for 2025: 497 employees, 55 recordable cases, 210 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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