Form 5500 · Employee benefit plan · MERIDEN, CT
ROBERTS 50 USA LLC
ROBERTS 50 USA LLC of MERIDEN, CT files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-3933395 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 10 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 258 people.
Reported premium across the insured contracts is $1,441,912, with $67,122 in disclosed broker commissions — about 4.7% of premium.
The health contract's policy period ended in September, while at least one ancillary line renews in August — the plan is on a split renewal cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 5 of the 10 contracts; the rest name a different broker or none.
5 carriers appear on the filing — UNITEDHEALTHCARE INSURANCE COMPANY, STANDARD INSURANCE COMPANY, AMERICAN HERITAGE LIFE INSURANCE COMPANY and FIDELITY SECURITY LIFE INSURANCE COMPANY among them — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental | 258 | September | $1,295,428 | $59,687 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 32 | September | $6,588 | $2,332 |
| STANDARD INSURANCE COMPANY | — | 389 | September | $44,297 | $1,612 |
| STANDARD INSURANCE COMPANY | Disability | 389 | September | $41,205 | $1,513 |
| STANDARD INSURANCE COMPANY | Life | 389 | September | $43,078 | $1,421 |
| ARAG INSURANCE COMPANY | — | 18 | August | $2,769 | $277 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 1 | September | $4,015 | $160 |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY | — | 1 | September | $310 | $120 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 1 | September | $34 | $0 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 131 | September | $4,188 | $0 |
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