# DELTA DENTAL PLAN OF COLORADO WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **DELTA DENTAL OF COLORADO**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | DELTA DENTAL OF COLORADO |
| EIN | 834416613 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | CENTENNIAL, CO |
| Industry | insurance |
| Funding | mixed |
| Total premiums | $3.3M |
| Participants | 188 |
| Persons covered | 304 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, Other |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Rx, Other |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| EMBER ASSURANCE, INC. | Vision |
| CURALINC HEALTHCARE | Other |
| YES HEARING | Health |

## Brokers

| Broker | Placed with |
|---|---|
| MJ INSURANCE | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| MJ INSURANCE | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| MJ INSURANCE | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| DANIEL CORY | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MELISSA A KOLL | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MJ INSURANCE | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MW INFINITI BENEFITS LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MJ INSURANCE | EMBER ASSURANCE, INC. |

## 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/834416613-503
- Cite as: PlanOptica, https://planoptica.com/welfare/834416613-503
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers