Form 5500 · Employee benefit plan · HOUSTON, TX
CLEAN ROYALTIES, LLC
CLEAN ROYALTIES, LLC of HOUSTON, TX files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ACRISURE LLC. Coverage is written through STANDARD INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 42-2150172 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life, Disability | 135 | June | $5,087 |
| DELTA DENTAL PLAN OF VERMONT, INC. | Dental | 258 | June | $3,283 |
| VISION SERVICE PLAN | Vision | 135 | June | $0 |
Questions
Who is CLEAN ROYALTIES, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, CLEAN ROYALTIES, LLC's broker of record is ACRISURE LLC.
What insurance carrier does CLEAN ROYALTIES, LLC use?
CLEAN ROYALTIES, LLC's benefit plan is written through STANDARD INSURANCE COMPANY, among 3 disclosed carriers.
When does CLEAN ROYALTIES, LLC's group plan renew?
The most recent Schedule A policy period for CLEAN ROYALTIES, LLC ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CLEAN ROYALTIES, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.