Form 5500 · Employee benefit plan · CLARKSVILLE, TN
FACILITY SERVICES MANAGEMENT INC
FACILITY SERVICES MANAGEMENT INC of CLARKSVILLE, TN files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is EDGEWOOD PARTNERS INSURANCE CENTER. Coverage is written through KAISER FOUNDATION HEALTH PLAN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 61-1265365 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, covers 12 people.
Reported premium across the insured contracts is $1,144,818, with $93,267 in disclosed broker commissions — about 8.1% 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.
EDGEWOOD PARTNERS INSURANCE CENTER is the broker of record on all 3 contracts.
3 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN, UNITED OF OMAHA LIFE INSURANCE COMPANY and CIGNA HEALTH AND LIFE INSURANCE COMPANY — with KAISER FOUNDATION HEALTH PLAN writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 303 | December | $337,891 | $53,325 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Vision | 183 | December | $197,085 | $21,458 |
| KAISER FOUNDATION HEALTH PLAN | Health | 12 | December | $609,842 | $18,484 |
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