Form 5500 · Employee benefit plan · COLORADO SPRINGS, CO
PLANET GRANITE INC.
The filing calls this plan PLANET GRANITE, INC. EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how PLANET GRANITE INC. of COLORADO SPRINGS, CO, a construction employer, structures its employee benefits. Its broker of record is DIGITAL INSURANCE INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1501370 · plan 501 · plan year 2025, filed Jun 16, 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.
The filing carries code 4S: this plan is filing again after previously being exempt.
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 and life; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 117 people.
Reported premium across the insured contracts is $198,692, with $42,375 in disclosed broker commissions — about 21% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
DIGITAL INSURANCE INC. is the broker of record on all 3 contracts.
3 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, HUMANA INSURANCE COMPANY and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental, Vision | 117 | Dec 1, 2025 | $168,799 | $36,584 |
| HUMANA INSURANCE COMPANY | Life | 112 | Dec 1, 2025 | $20,292 | $3,020 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Health | 37 | Dec 1, 2025 | $9,601 | $2,771 |
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.
Reported to OSHA
Reported to OSHA for 2025: 120 employees, 11 recordable cases, 40 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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