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Form 5500 · Employee benefit plan · SAN RAFAEL, CA

BARBIER SECURITY GROUP

The filing calls this plan BARBIER SECURITY GROUP WELFARE BENEFIT PLAN.

BARBIER SECURITY GROUP of SAN RAFAEL, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PAYCHEX AGENCY, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 1 other carrier. The plan's most recent policy period ended in November.

Benefits broker of record
Policy year ends
Novemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-0680757 · plan 501 · plan year 2025, filed May 5, 2026

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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.

All participants at the start of the year
129
Active at start of year
129
Active at end of year
102
Disclosed commissions
$73,980
Typical renewal
December 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.165 of 129 participants on the largest contract
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA139 of 129 participants
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA139 of 129 participants
Lifenot declared on this filing
Disabilitynot 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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 3 insured contracts covering health, dental and vision; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 165 people.

Reported premium across the insured contracts is $1,415,317, with $73,980 in disclosed broker commissions — about 5.2% of premium.

The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.

PAYCHEX AGENCY, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.

Two carriers split the book: KAISER FOUNDATION HEALTH PLAN, INC. and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER FOUNDATION HEALTH PLAN, INC.Health165Dec 1, 2025$1,277,277$68,229
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision139Dec 1, 2025$137,628$5,751
KAISER FOUNDATION HEALTH PLAN, INC.Health1Dec 1, 2025$412$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BARBIER SECURITY GROUP
EIN 27-0680757

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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