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Form 5500 · Employee benefit plan · NEW YORK, NY

MACE NORTH AMERICA, LTD.

The filing calls this plan MACE NORTH AMERICA, LTD. HEALTH & WELFARE BENEFITS PLAN.

MACE NORTH AMERICA, LTD. of NEW YORK, NY spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HIGGINBOTHAM INSURANCE AGENCY. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in April.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-2795674 · plan 501 · plan year 2025, filed Dec 9, 2025

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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
158
Active at start of year
155
Active at end of year
164
Disclosed commissions
$20,805
Typical renewal
May 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY186 of 158 participants
Dentalinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY186 of 158 participants
Visioninsured — VISION SERVICE PLAN131 of 158 participants (83%)
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY164 of 158 participants on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY164 of 158 participants on the largest contract

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 7 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 186 people.

Reported premium across the insured contracts is $2,107,201, with $20,805 in disclosed broker commissions — about 1% of premium.

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

HIGGINBOTHAM INSURANCE AGENCY is the broker of record on 6 of the 7 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY and VISION SERVICE PLAN. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth, Dental186May 1, 2025$1,935,423$5,565
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability164May 1, 2025$41,551$4,155
UNITED OF OMAHA LIFE INSURANCE COMPANYLife164May 1, 2025$53,853$4,096
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability164May 1, 2025$32,333$3,116
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability30May 1, 2025$16,480$1,648
VISION SERVICE PLANVision131May 1, 2025$19,837$1,453
UNITED OF OMAHA LIFE INSURANCE COMPANYLife47May 1, 2025$7,724$772

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
MACE NORTH AMERICA, LTD.
EIN 45-2795674

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

Other plans filed by this employer

How this plan compares

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