Form 5500 · Employee benefit plan · TUCKER, GA
AMERICAN 3B SCIENTIFIC, LP
The filing calls this plan AMERICAN 3B SCIENTIFIC, L.P.
AMERICAN 3B SCIENTIFIC, LP of TUCKER, GA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BLADE LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 59-1031071 · plan 501 · plan year 2026, filed Jul 31, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: 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 6 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 131 people.
Reported premium across the insured contracts is $874,241, with $122,777 in disclosed broker commissions — about 14% of premium.
The health contract's policy period ended in March, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
BLADE LLC is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, STANDARD INSURANCE COMPANY and COMBINED 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 | 131 | Apr 1, 2026 | $623,906 | $86,523 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Vision | 143 | Apr 1, 2026 | $124,792 | $12,361 |
| COMBINED INSURANCE COMPANY | — | 116 | Jan 1, 2026 | $15,569 | $7,391 |
| STANDARD INSURANCE COMPANY | Disability | 178 | Apr 1, 2026 | $44,084 | $6,458 |
| STANDARD INSURANCE COMPANY | Life | 178 | Apr 1, 2026 | $37,888 | $5,929 |
| STANDARD INSURANCE COMPANY | Disability | 178 | Apr 1, 2026 | $28,002 | $4,115 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 173980. For the contract year on this filing, the carrier reported $44,084 in premium earned and $15,787 in claims incurred. Dividing one by the other gives 36%.
STANDARD INSURANCE COMPANY, contract 173980. For the contract year on this filing, the carrier reported $37,888 in premium earned and $7,809 in claims incurred. Dividing one by the other gives 21%.
STANDARD INSURANCE COMPANY, contract 173980. For the contract year on this filing, the carrier reported $28,002 in premium earned and $13,135 in claims incurred. Dividing one by the other gives 47%.
- STANDARD INSURANCE COMPANY, contract 173980 reported $29,790 in retention.
- STANDARD INSURANCE COMPANY, contract 173980 reported $30,067 in retention.
- STANDARD INSURANCE COMPANY, contract 173980 reported $19,881 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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: 1,124 employees, 1 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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