Form 5500 · Employee benefit plan · SAN FRANCISCO, CA
15 FIVE, INC.
15 FIVE, INC. of SAN FRANCISCO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SEQUOIA BENEFITS & INS SVCS LLC. Coverage is written through ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-2422755 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | Health | 242 | December | $88,328 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, Disability | 153 | December | $35,660 |
| AETNA LIFE INSURANCE CO. | Life | 180 | December | $1,145 |
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 1 | December | $555 |
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 1 | December | $246 |
| ANTHEM LIFE INSURANCE COMPANY | Life | 122 | December | $244 |
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 0 | December | $91 |
Questions
Who is 15 FIVE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, 15 FIVE, INC.'s broker of record is SEQUOIA BENEFITS & INS SVCS LLC.
What insurance carrier does 15 FIVE, INC. use?
15 FIVE, INC.'s benefit plan is written through ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY, among 7 disclosed carriers.
When does 15 FIVE, INC.'s group plan renew?
The most recent Schedule A policy period for 15 FIVE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from 15 FIVE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.