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Form 5500 · Employee benefit plan · BOULDER, CO

BOULDER MEDICAL CENTER

BOULDER MEDICAL CENTER of BOULDER, CO is a 430-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PATRIOT GROWTH INS SERVICES LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-0834835 · plan 503 · as of Aug 2026

Participants
430
Carriers on file
7
Disclosed commissions
$5,571
Renewal month
December

Plan brief

Schedule A lists 7 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, covers 262 people.

Reported premium across the insured contracts is $4,327,949, with $5,571 in disclosed broker commissions — about 0.1% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

PATRIOT GROWTH INS SERVICES LLC is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.

5 carriers appear on the filing — CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, STANDARD INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and VISION SERVICE PLAN among them — with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability58December$33,890$3,389
VISION SERVICE PLANVision213December$26,443$1,730
PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD11December$2,660$452
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife432December$54,170$0
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATESHealth, Dental262December$4,053,085$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife141December$26,375$0
STANDARD INSURANCE COMPANYDisability67December$131,326$0

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