Form 5500 · Employee benefit plan · SAN FRANCISCO, CA
AFFIRM, INC.
Public Form 5500 records show how AFFIRM, INC. (SAN FRANCISCO, CA) structures its employee benefits. Its broker of record is ALLIANT INSURANCE SERVICES, INC.. Coverage is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-5413534 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 1,619 | December | $167,999 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 222 | December | $45,286 |
| ARAG INSURANCE COMPANY | — | 786 | December | $8,706 |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | 1,619 | September | $5,705 |
| FOUR EVER LIFE INSURANCE COMPANY | Health | 1,619 | July | $2,722 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Dental, Vision | 6 | June | $0 |
| ONE MEDICAL | Health | 1,509 | December | $0 |
| LYRA HEALTH, INC. | — | 1,619 | December | $0 |
Questions
Who is AFFIRM, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, AFFIRM, INC.'s broker of record is ALLIANT INSURANCE SERVICES, INC..
What insurance carrier does AFFIRM, INC. use?
AFFIRM, INC.'s benefit plan is written through PRUDENTIAL INSURANCE COMPANY OF AMERICA, among 8 disclosed carriers.
When does AFFIRM, INC.'s group plan renew?
The most recent Schedule A policy period for AFFIRM, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from AFFIRM, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.