Form 5500 · Employee benefit plan · GREENWOOD VILLAGE, CO
VAN HEUKELEM CONCRETE, INC.
Public Form 5500 records show how VAN HEUKELEM CONCRETE, INC. of GREENWOOD VILLAGE, CO, a construction employer, structures its employee benefits. Its broker of record is CCIG. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-0774282 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 99 people.
Reported premium across the insured contracts is $289,717, with $4,437 in disclosed broker commissions — about 1.5% of premium.
The health contract's policy period ended in December, while at least one ancillary line renews in November — the plan is on a split renewal cycle.
CCIG is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and PRINCIPAL LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 129 | November | $38,824 | $4,437 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 99 | December | $250,893 | $0 |
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