Form 5500 · Employee benefit plan · DENVER, CO
NEW PBS BRAND CO, LLC
The filing calls this plan PBS BRAND CO LLC WELFARE PLAN.
Public Form 5500 records show how NEW PBS BRAND CO, LLC of DENVER, CO, a hospitality and food service employer, structures its employee benefits. Its broker of record is HUB INTERNATIONAL INS SERVICES, INC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 86-2663774 · plan 501 · plan year 2025, filed Jun 4, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
Also declared: death benefits, 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 3 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 870 people.
Reported premium across the insured contracts is $1,299,393, with $78,251 in disclosed broker commissions — about 6% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL INS SERVICES, INC is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 870 | Oct 1, 2025 | $1,242,265 | $67,992 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 136 | Oct 1, 2025 | $49,691 | $5,425 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | 19 | Oct 1, 2025 | $7,437 | $4,834 |
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.
How this plan compares
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