Form 5500 · Employee benefit plan · BOULDER, CO
THE CIGARETTE STORE LLC
THE CIGARETTE STORE LLC of BOULDER, CO files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GBS COLORADO LLC. Coverage is written through HEALTH SELECT and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-1182893 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HEALTH SELECT | Health | 240 | December | $38,117 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life, Disability | 156 | December | $14,220 |
| GUARDIAN | — | 191 | December | $10,996 |
| STANDARD INSURANCE COMPANY | Dental, Vision | 1,039 | December | $3,069 |
Questions
Who is THE CIGARETTE STORE LLC's benefits broker?
Per its most recent Form 5500 Schedule A, THE CIGARETTE STORE LLC's broker of record is GBS COLORADO LLC.
What insurance carrier does THE CIGARETTE STORE LLC use?
THE CIGARETTE STORE LLC's benefit plan is written through HEALTH SELECT, among 4 disclosed carriers.
When does THE CIGARETTE STORE LLC's group plan renew?
The most recent Schedule A policy period for THE CIGARETTE STORE LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from THE CIGARETTE STORE LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.