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Form 5500 · Employee benefit plan · ARLINGTON, VA

THE COMMON APPLICATION, INC.

THE COMMON APPLICATION, INC. of ARLINGTON, VA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is TRIBRIDGE PARTNERS, LLC. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-2170737 · plan 501 · as of Jul 2026

Participants
159
Carriers on file
5
Disclosed commissions
$33,876
Renewal month
June

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNITED OF OMAHA LIFE INSURANCE COMPANY173June$13,217
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability169May$8,954
UNITED OF OMAHA LIFE INSURANCE COMPANYLife173June$5,249
UNITED OF OMAHA LIFE INSURANCE COMPANYLife72June$3,820
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATESHealth, Dental, Vision156June$2,636

Questions

Who is THE COMMON APPLICATION, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, THE COMMON APPLICATION, INC.'s broker of record is TRIBRIDGE PARTNERS, LLC.

What insurance carrier does THE COMMON APPLICATION, INC. use?

THE COMMON APPLICATION, INC.'s benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 5 disclosed carriers.

When does THE COMMON APPLICATION, INC.'s group plan renew?

The most recent Schedule A policy period for THE COMMON APPLICATION, INC. ended in June. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from THE COMMON APPLICATION, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.