form5500lookup

Form 5500 · Employee benefit plan · ARVADA, CO

BARBER-NICHOLS, LLC

The filing calls this plan BARBER-NICHOLS GROUP HEALTH PLAN.

BARBER-NICHOLS, LLC of ARVADA, CO insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is GCG FINANCIAL, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2023

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-0568519 · plan 501 · plan year 2023, filed Jul 29, 2024

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
192
Active at start of year
192
Active at end of year
200
Disclosed commissions
$43,513
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CIGNA HEALTH AND LIFE INSURANCE COMPANY267 of 192 participants
Dentalinsured — DELTA DENTAL OF COLORADO301 of 192 participants on the largest contract
Visioninsured — EYEMED VISION CARE257 of 192 participants
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA200 of 192 participants on the largest contract
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA200 of 192 participants

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 7 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 267 people.

Reported premium across the insured contracts is $941,574, with $43,513 in disclosed broker commissions — about 4.6% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.

GCG FINANCIAL, LLC is the broker of record on all 7 contracts.

7 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, DELTA DENTAL OF COLORADO, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and EYEMED VISION CARE. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth267Jan 1, 2024$685,801$25,313
DELTA DENTAL OF COLORADODental301Jan 1, 2024$131,114$7,753
UNUM LIFE INSURANCE COMPANY OF AMERICALife62Jun 1, 2024$18,626$4,685
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICALife, Disability200Jan 1, 2024$70,691$2,787
EYEMED VISION CAREVision257Jan 1, 2024$27,792$2,220
AMERICAN HERITAGE LIFE INSURANCE COMPANY—70Jan 1, 2024$4,352$499
BETA HEALTHDental36Jan 1, 2024$3,198$256

Premium and claims on this contract

DELTA DENTAL OF COLORADO, contract 000000130321. For the contract year on this filing, the carrier reported $131,114 in premium earned and $122,790 in claims incurred. Dividing one by the other gives 94%.

  • DELTA DENTAL OF COLORADO, contract 000000130321 reported $31,983 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BARBER-NICHOLS, LLC
EIN 84-0568519

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 230 employees, 1 recordable cases, 0 days away from work.

EmployeesThe company's own average for the year
230
Hours worked
460,000
Recordable cases
1
Days away from work
0

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

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