Form 5500 · Employee benefit plan · BROOMFIELD, CO
CROCS, INC.
CROCS, INC. of BROOMFIELD, CO insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through SUN LIFE ASSURANCE COMPANY OF CANADA and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-2164234 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with SUN LIFE ASSURANCE COMPANY OF CANADA, covers 3,148 people.
Reported premium across the insured contracts is $1,951,776, with $35,960 in disclosed broker commissions — about 1.8% 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.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing — SUN LIFE ASSURANCE COMPANY OF CANADA, HAWAII MEDICAL SERVICE ASSOCIATION, VISION SERVICE PLAN and FOUR EVER LIFE INSURANCE COMPANY among them — with SUN LIFE ASSURANCE COMPANY OF CANADA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 3,148 | December | $1,021,724 | $18,967 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 18 | December | $140,207 | $11,449 |
| TRIPLE S SALUD, INC | Health, Dental | 14 | December | $110,878 | $5,544 |
| FOUR EVER LIFE INSURANCE COMPANY | Health | 13 | December | $143,529 | $0 |
| VISION SERVICE PLAN | Vision | 1,784 | December | $237,047 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 40 | December | $298,391 | $0 |
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