Form 5500 · Employee benefit plan · ENGLEWOOD, CO
EMPYREAL ENTERPRISES, LLC
The filing calls this plan EMPYREAL ENTERPRISES LLC HEALTH AND WELFARE BENEFIT PLAN.
EMPYREAL ENTERPRISES, LLC 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 PATRIOT GROWTH INSURANCE SER. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-5255472 · plan 504 · plan year 2025, filed Feb 25, 2026
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45 other employer plans in Colorado have policy years ending in July. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: prepaid legal, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 8 insured contracts covering health, dental, vision, life and disability.
Reported premium across the insured contracts is $780,571, with $37,739 in disclosed broker commissions — about 4.8% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
PATRIOT GROWTH INSURANCE SER is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, SUN LIFE ASSURANCE COMPANY OF CANADA, UNITED CONCORDIA INSURANCE COMPANY and PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 306 | Aug 1, 2025 | $127,062 | $15,040 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | 270 | Aug 1, 2025 | $82,255 | $8,242 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | 43 | Aug 1, 2025 | $15,795 | $4,067 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 0 | Aug 1, 2025 | $16,281 | $3,101 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 0 | Aug 1, 2025 | $15,038 | $2,740 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 0 | Aug 1, 2025 | $13,299 | $2,437 |
| UNITED CONCORDIA INSURANCE COMPANY | Vision | 220 | Aug 1, 2025 | $21,085 | $2,112 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | — | Aug 1, 2025 | $489,756 | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
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Renewal calendar
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