Form 5500 · Employee benefit plan · BOULDER, CO
JVA, INC.
Public Form 5500 records show how JVA, INC. (BOULDER, CO) structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through LIFE INSURANCE COMPANY OF NORTH AMERICA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-0638689 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 143 | December | $8,124 |
| DELTA DENTAL OF COLORADO | Dental | 223 | December | $4,712 |
| AMERITAS LIFE INSURANCE CORPORATION | Vision | 118 | December | $897 |
Questions
Who is JVA, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, JVA, INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does JVA, INC. use?
JVA, INC.'s benefit plan is written through LIFE INSURANCE COMPANY OF NORTH AMERICA, among 3 disclosed carriers.
When does JVA, INC.'s group plan renew?
The most recent Schedule A policy period for JVA, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from JVA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.