Form 5500 · Employee benefit plan · FORT COLLINS, CO
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES of FORT COLLINS, CO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SHIRAZI MILLER BENEFITS, LLC. Coverage is written through SUN LIFE ASSURANCE COMPANY OF CANADA and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-0593455 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering vision, life and disability; the largest, with SUN LIFE ASSURANCE COMPANY OF CANADA, covers 614 people.
Reported premium across the insured contracts is $703,548, with $85,989 in disclosed broker commissions — about 12% 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.
SHIRAZI MILLER BENEFITS, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: SUN LIFE ASSURANCE COMPANY OF CANADA and TRUSTMARK INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Vision, Life, Disability | 614 | December | $667,343 | $78,027 |
| TRUSTMARK INSURANCE COMPANY | — | 27 | December | $36,205 | $7,962 |
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