Form 5500 · Employee benefit plan · PASADENA, TX
PCI NITROGEN, LLC
PCI NITROGEN, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 10 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 30-0164117 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental | 244 | December | $9,263 |
| STANDARD INSURANCE COMPANY | Life | 331 | December | $5,125 |
| STANDARD INSURANCE COMPANY | Disability | 287 | December | $5,054 |
| STANDARD INSURANCE COMPANY | — | 127 | December | $1,792 |
| STANDARD LIFE INSURANCE COMPANY OF NEW YORK | Disability | 38 | December | $1,012 |
| STANDARD LIFE INSURANCE COMPANY OF NEW YORK | Life | 38 | December | $979 |
| STANDARD LIFE INSURANCE COMPANY OF NEW YORK | — | 38 | December | $740 |
| STANDARD LIFE INSURANCE COMPANY OF NEW YORK | — | 38 | December | $663 |
| STANDARD LIFE INSURANCE COMPANY OF NEW YORK | Life | 12 | December | $181 |
| STANDARD LIFE INSURANCE COMPANY OF NEW YORK | — | 12 | December | $45 |
| ZURICH AMERICAN INSURANCE COMPANY | — | 128 | March | $0 |
Questions
Who is PCI NITROGEN, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, PCI NITROGEN, LLC's broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does PCI NITROGEN, LLC use?
PCI NITROGEN, LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, among 11 disclosed carriers.
When does PCI NITROGEN, LLC's group plan renew?
The most recent Schedule A policy period for PCI NITROGEN, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PCI NITROGEN, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.