Form 5500 · Employee benefit plan · WHEELING, IL
POTOMAC CORPORATION
The filing calls this plan CRESCENT CARDBOARD GROUP HEALTH PLAN FOR EMPLOYEES OF POTOMAC CORPORATION.
POTOMAC CORPORATION of WHEELING, IL insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MARSH & MCLENNAN AGENCY LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-0897610 · plan 503 · plan year 2025, filed Jul 2, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
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.
Benefits declared on this filing
Also declared: prepaid legal, death benefits, 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 6 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 252 people.
Reported premium across the insured contracts is $2,190,947, with $47,539 in disclosed broker commissions — about 2.2% 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.
MARSH & MCLENNAN AGENCY LLC is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, AMERITAS LIFE INSURANCE CORP. and PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 182 | Jan 1, 2026 | $120,061 | $21,611 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 252 | Jan 1, 2026 | $1,955,565 | $13,555 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 39 | Jan 1, 2026 | $34,631 | $4,844 |
| AMERITAS LIFE INSURANCE CORP. | Life | 33 | Jan 1, 2026 | $59,854 | $4,052 |
| AETNA LIFE INSURANCE COMPANY | Health | 69 | Jan 1, 2026 | $19,553 | $3,371 |
| METLIFE LEGAL PLANS | — | 4 | Jan 1, 2026 | $1,283 | $106 |
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.
Administrator and service providers
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
Subscribers see how this compares with similar plans in Illinois. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Illinois — largest plans, brokers, carriers and renewal months.