# EP BLAZER, LLC DBA JOHN ELWAY CHEVROLET ON BROADWAY HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **EP BLAZER, LLC** (dba JOHN ELWAY CHEVROLET ON BROADWAY). Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | EP BLAZER, LLC |
| EIN | 275044375 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ENGLEWOOD, CO |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $2.2M |
| Participants | 174 |
| Persons covered | 270 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AETNA LIFE INSURANCE COMPANY | Dental, Vision |
| KAISER PERMANENTE | Health, Rx, HMO, Other |
| AMERICAN FIDELITY ASSURANCE COMPANY | Life, STD, LTD, Other |
| ONE AMERICA | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| MJ INSURANCE | AETNA LIFE INSURANCE COMPANY |
| MJ INSURANCE | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| MJ INSURANCE | AMERICAN FIDELITY ASSURANCE COMPANY |
| COLORADO AUTO DEALERS ASSOCIATION | AMERICAN FIDELITY ASSURANCE COMPANY |
| CADA INSURANCE SERVICES INC | AMERICAN FIDELITY ASSURANCE COMPANY |
| MJ INSURANCE | AMERICAN UNITED LIFE INSURANCE COMPANY |
| JAMES R NELLIGAN & ASSOCIATES LLC | AMERICAN UNITED LIFE INSURANCE COMPANY |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/275044375-501
- Cite as: PlanOptica, https://planoptica.com/welfare/275044375-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers