# CLARK RESTAURANT SERVICE, INC. FLEXIBLE BENEFIT PLAN

Health and welfare plan sponsored by **CLARK RESTAURANT SERVICE, INC.** (dba CRS ONESOURCE). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | CLARK RESTAURANT SERVICE, INC. |
| EIN | 610550222 |
| Plan number | 511 |
| Plan year | 2025 |
| Location | OWENSBORO, KY |
| Industry | government administration |
| Funding | mixed |
| Total premiums | $308K |
| Participants | 246 |
| Persons covered | 318 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| HEALTH RESOURCES, INC. | Dental, PPO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| HOUCHENS INSURANCE GROUP INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| HOUCHENS INSURANCE GROUP INC | HEALTH RESOURCES INC. |
| HOUCHENS INSURANCE GROUP INC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| CRTX2 LLC | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| FRANKIE GLEE WILLIAMS | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| LEIGH L ARMSTRONG | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| DEBORAH S GOLDEN | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| MARYANNE ANDERSON | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| KRISTIN BENNETT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| HOUCHENS INSURANCE GROUP INC | FIDELITY SECURITY LIFE INSURANCE COMPANY |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/610550222-511
- Cite as: PlanOptica, https://planoptica.com/welfare/610550222-511
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