Form 5500 · Employee benefit plan · GREELEY, CO
4 RIVERS HOLDINGS, LLC
4 RIVERS HOLDINGS, LLC of GREELEY, CO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is STACEY THOMAS CAMPBELL. Coverage is written through AFLAC and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1250122 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AFLAC | Life, Disability | 109 | December | $23,439 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 415 | December | $10,856 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 415 | December | $945 |
| GERBER LIFE | Stop-loss | 415 | December | $0 |
| MERITAIN HEALTH | Health, Dental, Vision | 343 | December | $0 |
Questions
Who is 4 RIVERS HOLDINGS, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, 4 RIVERS HOLDINGS, LLC's broker of record is STACEY THOMAS CAMPBELL.
What insurance carrier does 4 RIVERS HOLDINGS, LLC use?
4 RIVERS HOLDINGS, LLC's benefit plan is written through AFLAC, among 5 disclosed carriers.
When does 4 RIVERS HOLDINGS, LLC's group plan renew?
The most recent Schedule A policy period for 4 RIVERS HOLDINGS, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from 4 RIVERS HOLDINGS, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.