Form 5500 · Employee benefit plan · BOISE, ID
TREASURE VALLEY COFFEE, INC.
Public Form 5500 records show how TREASURE VALLEY COFFEE, INC. of BOISE, ID, a manufacturing employer, structures its employee benefits. Its broker of record is HUB INTERNATIONAL MOUNTAIN. Coverage is written through SELECTHEALTH and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-0437447 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental and vision; the largest, with SELECTHEALTH, covers 191 people.
Reported premium across the insured contracts is $1,340,737, with $68,111 in disclosed broker commissions — about 5.1% 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.
HUB INTERNATIONAL MOUNTAIN is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — SELECTHEALTH, DELTA DENTAL OF IDAHO and METROPOLITAN LIFE INSURANCE COMPANY — with SELECTHEALTH writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SELECTHEALTH | Health | 191 | December | $1,237,598 | $61,857 |
| DELTA DENTAL OF IDAHO | Dental | 124 | December | $87,819 | $4,724 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 241 | December | $15,320 | $1,530 |
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