Form 5500 · Employee benefit plan · IRVING, TX
RS WATER HOLDINGS, LLC
RS WATER HOLDINGS, LLC of IRVING, TX is a 135-participant administrative and support services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is INSURICA INSURANCE SERVICES, LLC. Coverage is written through DEARBORN LIFE INSURANCE COMPANY. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-5443411 · plan 502 · plan year 2025, filed Feb 26, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits.
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.
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 1 insured contract covering vision, life and disability; the largest, with DEARBORN LIFE INSURANCE COMPANY, covers 160 people.
The filing declares vision, life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $74,926, with $11,090 in disclosed broker commissions — about 15% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DEARBORN LIFE INSURANCE COMPANY | Vision, Life, Disability | 160 | Oct 1, 2025 | $74,926 | $11,090 |
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
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