Form 5500 · Employee benefit plan · BRENTWOOD, TN
CLEANSLATE CENTERS, INC.
CLEANSLATE CENTERS, INC. of BRENTWOOD, TN files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SEITLIN,MARSH & MCLENNAN AGENCY LLC. Coverage is written through FIDELITY SECURITY LIFE INSURANCE COMPANY and 9 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-4372716 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 684 | January | $472,476 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 403 | January | $35,283 |
| BLUECROSS BLUESHIELD OF TENNESSEE, INC. | Health | 765 | December | $13,752 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 170 | January | $8,309 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 274 | January | $7,491 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 103 | January | $6,793 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 535 | January | $6,149 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 535 | January | $5,540 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 143 | January | $4,737 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 534 | January | $4,558 |
Questions
Who is CLEANSLATE CENTERS, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, CLEANSLATE CENTERS, INC.'s broker of record is SEITLIN,MARSH & MCLENNAN AGENCY LLC.
What insurance carrier does CLEANSLATE CENTERS, INC. use?
CLEANSLATE CENTERS, INC.'s benefit plan is written through FIDELITY SECURITY LIFE INSURANCE COMPANY, among 10 disclosed carriers.
When does CLEANSLATE CENTERS, INC.'s group plan renew?
The most recent Schedule A policy period for CLEANSLATE CENTERS, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CLEANSLATE CENTERS, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.