Form 5500 · Employee benefit plan · ELLENWOOD, GA
CLAYTON FIXTURE CO., INC.
The filing calls this plan CLAYTON FIXTURE CO., INC. DBA CFX PRODUCTS BENEFITS WELFARE PLAN.
Public Form 5500 records show how CLAYTON FIXTURE CO., INC. of ELLENWOOD, GA, a manufacturing employer, structures its employee benefits. Its broker of record is PATRIOT GROWTH INSURANCE SERVICE. Coverage is written through SWISS RE CORPORATE SOLUTIONS AMERICA INS. CORP. and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-0910063 · plan 501 · plan year 2025, filed Jul 30, 2026
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How this plan is funded
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Also declared: prepaid legal, 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 2 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with SWISS RE CORPORATE SOLUTIONS AMERICA INS. CORP., covers 71 people.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $326,490 in premium and $0 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $470,418, with $23,531 in disclosed broker commissions — about 5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
PATRIOT GROWTH INSURANCE SERVICE is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 104 | Jan 1, 2026 | $143,928 | $23,531 |
| SWISS RE CORPORATE SOLUTIONS AMERICA INS. CORP. | Stop-loss | 71 | Jan 1, 2026 | $326,490 | $0 |
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.
Reported to OSHA
Reported to OSHA for 2025: 107 employees, 6 recordable cases, 1 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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