Form 5500 · Employee benefit plan · TIBURON, CA
BOOMTOWN NETWORK, INC.
Public Form 5500 records show how BOOMTOWN NETWORK, INC. (TIBURON, CA) structures its employee benefits. Its broker of record is SEQUOIA BENEFITS AND INSURANCE SERV. Coverage is written through BLUE CROSS OF CALIFORNIA and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-4287060 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health | 56 | December | $46,190 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO. | Life | 75 | December | $572 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Disability | 75 | December | $0 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 2 | December | $0 |
Questions
Who is BOOMTOWN NETWORK, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BOOMTOWN NETWORK, INC.'s broker of record is SEQUOIA BENEFITS AND INSURANCE SERV.
What insurance carrier does BOOMTOWN NETWORK, INC. use?
BOOMTOWN NETWORK, INC.'s benefit plan is written through BLUE CROSS OF CALIFORNIA, among 4 disclosed carriers.
When does BOOMTOWN NETWORK, INC.'s group plan renew?
The most recent Schedule A policy period for BOOMTOWN NETWORK, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BOOMTOWN NETWORK, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.