Form 5500 · Employee benefit plan · ROYAL OAK, MI
HARLEY ELLIS DEVEREAUX
Public Form 5500 records show how HARLEY ELLIS DEVEREAUX (ROYAL OAK, MI) structures its employee benefits. Its broker of record is BURNHAM BENEFITS INSURANCE SERVICES. 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 38-2645558 · plan 526 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health, Dental | 565 | December | $175,529 |
| CIGNA HEALTHCARE OF CALIFORNIA | Health | 100 | December | $55,083 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 533 | December | $37,859 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 28 | December | $6,622 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO | Vision | 438 | December | $3,018 |
Questions
Who is HARLEY ELLIS DEVEREAUX's benefits broker?
Per its most recent Form 5500 Schedule A, HARLEY ELLIS DEVEREAUX's broker of record is BURNHAM BENEFITS INSURANCE SERVICES.
What insurance carrier does HARLEY ELLIS DEVEREAUX use?
HARLEY ELLIS DEVEREAUX's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, among 5 disclosed carriers.
When does HARLEY ELLIS DEVEREAUX's group plan renew?
The most recent Schedule A policy period for HARLEY ELLIS DEVEREAUX ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from HARLEY ELLIS DEVEREAUX's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.