Form 5500 · Employee benefit plan · NOVATO, CA
CG ROXANE, LLC
CG ROXANE, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through ANTHEM LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 68-0207100 · plan 504 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| ANTHEM LIFE INSURANCE COMPANY | Health, Dental, Vision, Life, Disability | 1,070 | May | $38,094 |
| STANDARD INSURANCE COMPANY | Life, Disability | 491 | May | $3,663 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | Life, Disability | 520 | March | $2,474 |
| FEDERAL INSURANCE COMPANY | — | 412 | June | $0 |
Questions
Who is CG ROXANE, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, CG ROXANE, LLC's broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does CG ROXANE, LLC use?
CG ROXANE, LLC's benefit plan is written through ANTHEM LIFE INSURANCE COMPANY, among 4 disclosed carriers.
When does CG ROXANE, LLC's group plan renew?
The most recent Schedule A policy period for CG ROXANE, LLC ended in May. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from CG ROXANE, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.