Form 5500 · Employee benefit plan · MADISON, WI
ACCURAY INCORPORATED
Public Form 5500 records show how ACCURAY INCORPORATED (MADISON, WI) structures its employee benefits. Its broker of record is CUSTOM BENEFIT PROGRAMS INC DBA. Coverage is written through AETNA LIFE INSURANCE CO. and 11 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-8370041 · plan 501 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE CO. | — | 181 | December | $78,774 | $23,239 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 50 | December | $473,705 | $9,781 |
| VISION SERVICE PLAN | Vision | 401 | December | $75,357 | $2,600 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 13 | December | $110,513 | $2,164 |
| FEDERAL INSURANCE COMPANY | — | 0 | December | $8,868 | $1,330 |
| CONCERN | — | 514 | December | $19,041 | $952 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 512 | December | $244,138 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 507 | December | $104,018 | $0 |
| QUARTZ HEALTH BENEFIT PLANS CORPORATION | — | 512 | December | $3,496,870 | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 406 | December | $5,195,732 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 136 | December | $31,841 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 512 | December | $109,351 | $0 |
Questions
Who is ACCURAY INCORPORATED's benefits broker?
Per its most recent Form 5500 Schedule A, ACCURAY INCORPORATED's broker of record is CUSTOM BENEFIT PROGRAMS INC DBA.
What insurance carrier does ACCURAY INCORPORATED use?
ACCURAY INCORPORATED's benefit plan is written through AETNA LIFE INSURANCE CO., among 12 disclosed carriers.
When does ACCURAY INCORPORATED's group plan renew?
The most recent Schedule A policy period for ACCURAY INCORPORATED ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ACCURAY INCORPORATED's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.