Form 5500 · Employee benefit plan · HENDERSON, NV
CLEAR RIVER LLC
Public Form 5500 records show how CLEAR RIVER LLC of HENDERSON, NV, a retail employer, structures its employee benefits. Its broker of record is CORE NEVADA LLC. Coverage is written through PROMINENCE HEALTH PLAN and 1 other carrier. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-5287883 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental and vision; the largest, with PROMINENCE HEALTH PLAN, covers 144 people.
Reported premium across the insured contracts is $511,941, with $44,735 in disclosed broker commissions — about 8.7% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
CORE NEVADA LLC is the broker of record on all 2 contracts.
Two carriers split the book: PROMINENCE HEALTH PLAN and ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVIE, INC..
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PROMINENCE HEALTH PLAN | Health | 144 | March | $458,318 | $38,825 |
| ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVIE, INC. | Dental, Vision | 254 | March | $53,623 | $5,910 |
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