Form 5500 · Employee benefit plan · GREENWOOD VILLAGE, CO
FIRSTONSITE USA HOLDINGS, INC.
FIRSTONSITE USA HOLDINGS, INC. of GREENWOOD VILLAGE, CO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-4267677 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, covers 2,027 people.
Reported premium across the insured contracts is $4,597,771, with $165,371 in disclosed broker commissions — about 3.6% 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.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 3 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing — CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, LIFE INSURANCE COMPANY OF NORTH AMERICA, HAWAII MEDICAL SERVICE ASSOCIATION and CIGNA HEALTH AND LIFE INSURANCE COMPANY among them — with CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 973 | December | $1,375,700 | $93,625 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental, Vision | 2,027 | December | $2,245,958 | $35,797 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 1,345 | December | $425,932 | $32,210 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health, Dental, Vision | 16 | December | $113,262 | $3,739 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Dental, Vision | 69 | December | $436,919 | $0 |
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