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Form 5500 · Employee benefit plan · ENGLEWOOD, CO

BURG SIMPSON ELDREDGE HERSH JARDINE, PC

BURG SIMPSON ELDREDGE HERSH JARDINE, PC of ENGLEWOOD, CO insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL INS SVCS INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 5 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 84-0832595 · plan 501 · as of Aug 2026

Participants
145
Carriers on file
6
Disclosed commissions
$22,611
Renewal month
December

Plan brief

Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 147 people.

Reported premium across the insured contracts is $1,704,180, with $22,611 in disclosed broker commissions — about 1.3% 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.

HUB INTERNATIONAL INS SVCS INC. is the broker of record on 5 of the 6 contracts; the rest name a different broker or none.

6 carriers appear on the filing — CIGNA HEALTH AND LIFE INSURANCE COMPANY, STANDARD INSURANCE COMPANY, CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and UNUM LIFE INSURANCE COMPANY OF AMERICA among them — with CIGNA HEALTH AND LIFE INSURANCE COMPANY writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATESDental, Vision129December$87,335$8,643
STANDARD INSURANCE COMPANYLife, Disability138December$111,056$5,380
CONTINENTAL AMERICAN INSURANCE COMPANY30December$19,459$3,832
UNUM LIFE INSURANCE COMPANY OF AMERICALife27December$46,370$3,269
AFLAC24December$16,635$1,487
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth147December$1,423,325$0

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