Form 5500 · Employee benefit plan · MOUNTAIN VIEW, CA
AUTO-CHLOR SYSTEM, INC.
AUTO-CHLOR SYSTEM, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is CBIZ BENEFITS & INSURANCE SERVICES. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC and 8 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0832878 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC | Health | 151 | July | $30,705 |
| RELIASTAR LIFE INSURANCE COMPANY | — | 233 | July | $16,938 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 1,208 | July | $15,454 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 260 | July | $6,075 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 28 | July | $2,275 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 1,103 | July | $1,509 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 24 | July | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental | 974 | July | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 1,015 | July | $0 |
Questions
Who is AUTO-CHLOR SYSTEM, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, AUTO-CHLOR SYSTEM, INC.'s broker of record is CBIZ BENEFITS & INSURANCE SERVICES.
What insurance carrier does AUTO-CHLOR SYSTEM, INC. use?
AUTO-CHLOR SYSTEM, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC, among 9 disclosed carriers.
When does AUTO-CHLOR SYSTEM, INC.'s group plan renew?
The most recent Schedule A policy period for AUTO-CHLOR SYSTEM, INC. ended in July. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from AUTO-CHLOR SYSTEM, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.