Form 5500 · Employee benefit plan · EARTH CITY, MO
CCA CORPORATE SERVICES LLC
The filing calls this plan GROUP WELFARE BENEFIT PLAN (CCA CORPORATION).
CCA CORPORATE SERVICES LLC of EARTH CITY, MO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-3658446 · plan 501 · plan year 2025, filed Jul 8, 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: 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.
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 AETNA LIFE INSURANCE COMPANY, covers 691 people.
Reported premium is $7,202,332; the filing discloses no broker commission on these contracts.
The health contract's policy period ended in September, while at least one ancillary line's policy period ended in July. The plan is on a split renewal cycle.
LOCKTON COMPANIES, LLC is the broker of record on 2 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, LIFE INSURANCE COMPANY OF NORTH AMERICA, DELTA DENTAL OF MISSOURI and VISION BENEFITS OF AMERICA. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | Health | 691 | Oct 1, 2025 | $6,494,524 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 448 | Oct 1, 2025 | $363,650 | $0 |
| DELTA DENTAL OF MISSOURI | Dental | 762 | Aug 1, 2025 | $291,622 | $0 |
| VISION BENEFITS OF AMERICA | Vision | 272 | Oct 1, 2025 | $27,012 | $0 |
| ADVANTICA INSURANCE COMPANY | Vision | 682 | Jan 1, 2026 | $14,197 | $0 |
| PREFERRED RESOURCE NETWORK, INC. | — | 448 | Oct 1, 2025 | $11,327 | $0 |
Premium and claims on this contract
VISION BENEFITS OF AMERICA, contract 1438. For the contract year on this filing, the carrier reported $27,012 in premium earned and $14,594 in claims incurred. Dividing one by the other gives 54%.
- VISION BENEFITS OF AMERICA, contract 1438 reported $12,418 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.
How this plan compares
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