Form 5500 · Employee benefit plan · ORLANDO, FL
SIEMENS ENERGY, INC.
SIEMENS ENERGY, INC. of ORLANDO, FL files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CUSTOM BENEFIT PROGRAMS INC. Coverage is written through HARTFORD LIFE AND ACCIDENT and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-3987280 · plan 521 · as of Aug 2026
Plan brief
Schedule A lists 8 insured contracts covering health, dental, vision, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 10,463 people.
Reported premium across the insured contracts is $18,444,500, with $85,908 in disclosed broker commissions — about 0.5% 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.
CUSTOM BENEFIT PROGRAMS INC is the broker of record on 1 of the 8 contracts; the rest name a different broker or none.
8 carriers appear on the filing — HARTFORD LIFE AND ACCIDENT, LINCOLN NATIONAL LIFE INSURANCE COMPANY, EYEMED VISION CARE and CIGNA HEALTH AND LIFE INSURANCE COMPANY among them — with HARTFORD LIFE AND ACCIDENT writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIASTAR LIFE INSURANCE COMPANY | — | 19,125 | December | $473,109 | $85,908 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental | 115 | December | $984,245 | $0 |
| EYEMED VISION CARE | Vision | 22,453 | December | $2,108,243 | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 10,038 | December | $4,569,640 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | Health | 220 | December | $2,004 | $0 |
| HARTFORD LIFE AND ACCIDENT INSURANCE CO | — | 18,379 | December | $899,541 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 10,160 | December | $59,419 | $0 |
| HARTFORD LIFE AND ACCIDENT | Life | 10,463 | December | $9,348,299 | $0 |
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