Form 5500 · Employee benefit plan · CENTENNIAL, CO
DELTA DENTAL OF COLORADO
DELTA DENTAL OF COLORADO of CENTENNIAL, CO insures health, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MJ INSURANCE. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF COLORADO and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-4416613 · plan 503 · as of Aug 2026
Plan brief
Schedule A lists 7 insured contracts covering health, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF COLORADO, covers 253 people.
Reported premium across the insured contracts is $3,297,042, with $109,611 in disclosed broker commissions — about 3.3% 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.
MJ INSURANCE is the broker of record on 5 of the 7 contracts; the rest name a different broker or none.
7 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN OF COLORADO, CIGNA HEALTH AND LIFE INSURANCE COMPANY, UNITED OF OMAHA LIFE INSURANCE COMPANY and COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY among them — with KAISER FOUNDATION HEALTH PLAN OF COLORADO writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 253 | December | $2,177,908 | $64,934 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 176 | December | $179,077 | $26,863 |
| COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | — | 67 | December | $46,273 | $14,420 |
| EMBER ASSURANCE, INC. | Vision | 304 | December | $34,073 | $3,394 |
| CURALINC HEALTHCARE | — | 230 | December | $6,403 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 70 | December | $853,308 | $0 |
| YES HEARING | Health | 166 | December | — | $0 |
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