Form 5500 · Employee benefit plan · OAKLAND, CA
BLUE BOTTLE COFFEE, LLC
BLUE BOTTLE COFFEE, LLC of OAKLAND, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ALLIANT INSURANCE SERVICES, INC.. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-0805567 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health | 412 | December | $89,255 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 299 | December | $66,055 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 6 | December | $2,560 |
| CONCERN | — | 1,165 | December | $0 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, Disability | 741 | December | $0 |
| EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | Vision | 651 | December | $0 |
Questions
Who is BLUE BOTTLE COFFEE, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, BLUE BOTTLE COFFEE, LLC's broker of record is ALLIANT INSURANCE SERVICES, INC..
What insurance carrier does BLUE BOTTLE COFFEE, LLC use?
BLUE BOTTLE COFFEE, LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, among 6 disclosed carriers.
When does BLUE BOTTLE COFFEE, LLC's group plan renew?
The most recent Schedule A policy period for BLUE BOTTLE COFFEE, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BLUE BOTTLE COFFEE, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.