Form 5500 · Employee benefit plan · GREENWOOD VILLAGE, CO
SAMUEL ENGINEERING, INC.
SAMUEL ENGINEERING, INC. of GREENWOOD VILLAGE, CO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL INS SVCS INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1354363 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 518 | December | $98,975 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 378 | December | $27,817 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 378 | December | $24,054 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 378 | December | $21,646 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 594 | December | $9,874 |
| VISION SERVICE PLAN | Vision | 267 | December | $2,080 |
Questions
Who is SAMUEL ENGINEERING, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, SAMUEL ENGINEERING, INC.'s broker of record is HUB INTERNATIONAL INS SVCS INC.
What insurance carrier does SAMUEL ENGINEERING, INC. use?
SAMUEL ENGINEERING, INC.'s benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 6 disclosed carriers.
When does SAMUEL ENGINEERING, INC.'s group plan renew?
The most recent Schedule A policy period for SAMUEL ENGINEERING, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SAMUEL ENGINEERING, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.