Form 5500 · Employee benefit plan · FORT COLLINS, CO
SUMMITSTONE HEALTH PARTNERS
SUMMITSTONE HEALTH PARTNERS of FORT COLLINS, CO insures dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is SHIRAZI MILLER BENEFITS, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1512383 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 488 people.
Reported premium across the insured contracts is $981,603, with $84,946 in disclosed broker commissions — about 8.7% 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 all 4 contracts.
3 carriers appear on the filing — CIGNA HEALTH AND LIFE INSURANCE COMPANY, SUN LIFE ASSURANCE COMPANY OF CANADA and VISION SERVICE PLAN — with CIGNA HEALTH AND LIFE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 614 | December | $362,356 | $33,880 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental | 488 | December | $450,397 | $26,748 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 500 | December | $106,750 | $18,570 |
| VISION SERVICE PLAN | Vision | 479 | December | $62,100 | $5,748 |
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