Form 5500 · Employee benefit plan · OAKTON, VA
SERVICESOURCE, INC.
SERVICESOURCE, INC. of OAKTON, VA is a 1,918-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is USI ISURANCE SERVICES LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 54-0901256 · plan 509 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, covers 1,055 people.
Reported premium across the insured contracts is $17,567,312, with $14,202 in disclosed broker commissions — about 0.1% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
USI ISURANCE SERVICES LLC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, STANDARD INSURANCE COMPANY and CIGNA HEALTH AND LIFE INSURANCE COMPANY — with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 2,079 | June | $161,048 | $14,202 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health, Dental, Vision | 1,055 | June | $16,201,356 | $0 |
| STANDARD INSURANCE COMPANY | Life, Disability | 2,079 | June | $1,204,908 | $0 |
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