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Form 5500 · Employee benefit plan · BRIDGEWATER, NJ

ICONECTIV, LLC

ICONECTIV, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 22-2478398 · plan 565 · as of Jul 2026

Participants
390
Carriers on file
5
Disclosed commissions
$141,444
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth545December$76,940
SYMETRA LIFE INSURANCE COMPANYLife, Disability400December$44,457
METROPOLITAN LIFE INSURANCE COMPANY630December$20,047
VISION SERVICE PLANVision282December$0
DELTA DENTAL OF NEW JERSEY, INC.Dental793December$0

Questions

Who is ICONECTIV, LLC's benefits broker?

Per its most recent Form 5500 Schedule A, ICONECTIV, LLC's broker of record is GALLAGHER BENEFIT SERVICES, INC..

What insurance carrier does ICONECTIV, LLC use?

ICONECTIV, LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 5 disclosed carriers.

When does ICONECTIV, LLC's group plan renew?

The most recent Schedule A policy period for ICONECTIV, LLC ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from ICONECTIV, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.