Form 5500 · Employee benefit plan · RANCHO CORDOVA, CA
AMPAC FINE CHEMICALS LLC
The filing calls this plan AMPAC FINE CHEMICALS LLC EMPLOYEE HEALTH PLAN.
AMPAC FINE CHEMICALS LLC of RANCHO CORDOVA, CA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is AON CONSULTING, INC. - IL. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 5 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-3451631 · plan 501 · plan year 2025, filed Mar 26, 2026
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314 other employer plans in California have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 7 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 854 people.
Reported premium across the insured contracts is $7,817,600, with $335,018 in disclosed broker commissions — about 4.3% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
AON CONSULTING, INC. - IL is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., DELTA DENTAL OF CALIFORNIA, HARTFORD LIFE AND ACCIDENT and VISION SERVICE PLAN. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 854 | Oct 1, 2025 | $6,602,530 | $197,717 |
| DELTA DENTAL OF CALIFORNIA | Dental | 1,398 | Oct 1, 2025 | $640,021 | $63,895 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 862 | Oct 1, 2025 | $404,066 | $54,115 |
| AETNA LIFE INSURANCE COMPANY | — | 142 | Oct 1, 2025 | $63,146 | $13,289 |
| HARTFORD LIFE AND ACCIDENT | — | 598 | Oct 1, 2025 | $25,969 | $3,895 |
| VISION SERVICE PLAN | Vision | 460 | Oct 1, 2025 | $69,887 | $2,107 |
| HEALTH ADVOCATE SOLUTIONS, INC. | — | 608 | Oct 1, 2025 | $11,981 | $0 |
Premium and claims on this contract
VISION SERVICE PLAN, contract 30057690. For the contract year on this filing, the carrier reported $69,887 in premium earned and $48,408 in claims incurred. Dividing one by the other gives 69%.
- VISION SERVICE PLAN, contract 30057690 reported $13,988 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
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