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Form 5500 · Employee benefit plan · PERRY, GA

CROSSROADS MEDICAL MANAGEMENT, INC.

The filing calls this plan CROSSROADS MEDICAL MANAGEMENT, INC. EMPLOYEE BENEFITS PLAN.

Public Form 5500 records show how CROSSROADS MEDICAL MANAGEMENT, INC. of PERRY, GA, a health care and social assistance employer, structures its employee benefits. Its broker of record is CADENCE INSURANCE INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 58-1330210 · plan 505 · plan year 2025, filed Sep 24, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

160 other employer plans in Georgia have policy years ending in June. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

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.

All participants at the start of the year
545
Active at start of year
545
Active at end of year
585
Disclosed commissions
$238,973
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY333 of 545 participants (61%)
Dentalinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY333 of 545 participants (61%)
Visioninsured — STARMOUNT LIFE INSURANCE COMPANY308 of 545 participants (57%)
Lifeinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA207 of 545 participants (38%) on the largest contract
Disabilityinsured — UNUM LIFE INSURANCE COMPANY OF AMERICA187 of 545 participants (34%)

Also declared: 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 15 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 333 people.

Reported premium across the insured contracts is $1,088,602, with $238,973 in disclosed broker commissions — about 22% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

CADENCE INSURANCE INC is the broker of record on 11 of the 15 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNUM LIFE INSURANCE COMPANY OF AMERICA, STARMOUNT LIFE INSURANCE COMPANY and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental333Jul 1, 2025$666,080$165,832
UNUM LIFE INSURANCE COMPANY OF AMERICADisability187Jul 1, 2025$223,055$31,357
UNUM LIFE INSURANCE COMPANY OF AMERICALife207Jul 1, 2025$63,813$9,026
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—53Jul 1, 2025$16,838$8,268
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—29Jul 1, 2025$9,803$4,322
UNUM LIFE INSURANCE COMPANY OF AMERICALife585Jul 1, 2025$49,443$3,441
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—24Jul 1, 2025$7,349$3,305
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—20Jul 1, 2025$5,309$2,372
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—20Jul 1, 2025$4,963$2,207
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—12Jul 1, 2025$4,869$2,119
STARMOUNT LIFE INSURANCE COMPANYVision308Jul 1, 2025$26,497$2,007
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—12Jul 1, 2025$4,012$1,755
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—8Jul 1, 2025$3,738$1,658
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—6Jul 1, 2025$2,530$1,151
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—2Jul 1, 2025$303$153

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
CROSSROADS MEDICAL MANAGEMENT, INC.
EIN 58-1330210

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

160 other employer plans in Georgia are July 1 renewals (policy year ends June).

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