BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Cleanslate Centers, Inc.

Healthcare & social assistance · Brentwood, Tennessee · EIN ending 2716

Updated Filing received by DOL

Cleanslate Centers, Inc., a healthcare & social assistance employer in Brentwood, Tennessee, reported 483 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $5.4M in insurance premiums across 10 contracts and $565,088 in broker commissions and fees, 0.3% of medical premium against a national median of 3.8% among plans that paid commissions in plan year 2024. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on June 10, 2026, 238 days after the extended deadline.

Participants
483
−28.3% vs 2023
Premiums filed
$5.4M
−13.7% vs 2023
Broker commissions + fees
$565,088
+377.3% vs 2023
Commission rate
0.3%
of medical premium · median 3.8%

Who was paid on Cleanslate Centers, Inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Cleanslate Centers, Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Group Benefit System Inc. · Nashville, TN$54,908$0$54,9087
Excalibur Financial Group · Tampa, FL$18,591$0$18,5918
Edward R. Howell · Nashville, TN$14,232$0$14,2321
Group Benefit Systems, Inc. · Nashville, TN$5,361$0$5,3611
Marsh McLennan Agency · Miami, FL$4,725$0$4,7251

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Bluecross Blueshield of Tennessee, Inc.health765$5.4M$13,7520.3%
United of Omaha Life Insurance Companyshort-term disability535—$6,149—
United of Omaha Life Insurance Companylong-term disability535—$5,540—
United of Omaha Life Insurance Companylife534—$4,558—
United of Omaha Life Insurance Companycoverage not coded170—$8,309—
United of Omaha Life Insurance Companycoverage not coded143—$4,737—
United of Omaha Life Insurance Companydental403—$35,283—
United of Omaha Life Insurance Companyindemnity103—$6,793—
United of Omaha Life Insurance Companylife274—$7,491—
Fidelity Security Life Insurance Companyvision684—$472,476—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Cleanslate Centers, Inc. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Cleanslate Centers, Inc.
$565,088
Commission rate, % of medical premium
Cleanslate Centers, Inc.
0.3%

Premium per covered person on medical contracts: $7,067 a year (national median $7,274).

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$6.3M$5.4MPremiums$118,396$565,088Broker pay20232024
Cleanslate Centers, Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants674483−28.3%
Premiums filed$6,263,324$5,406,622−13.7%
Broker commissions + fees$118,396$565,088+377.3%
Commission rate0.2%0.3%+0.0 pts

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Cleanslate Centers, Inc. Health and Welfare Plan#501 · filed under DFVCP · insurance, general assetsDecember 31, 2024June 10, 2026238 days late483

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Cleanslate Centers, Inc. pay in health insurance broker commissions in 2024?

Cleanslate Centers, Inc.'s 2024 Form 5500 reports $565,088 in broker commissions and fees across 10 insurance contracts ($565,088 in commissions, $0 in fees), with Group Benefit System Inc. receiving the largest share.

Is Cleanslate Centers, Inc.'s health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Bluecross Blueshield of Tennessee, Inc..

How does Cleanslate Centers, Inc.'s broker compensation compare with similar employers?

Cleanslate Centers, Inc. paid 0.3% of medical premium in commissions and fees. The median for employers with 200-499 participants is 3.6%, and the median in Tennessee is 3.9%. Percentages are computed only on fully insured medical contracts with filed premiums.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.