Form 5500 · Employee benefit plan · PASADENA, CA
CALIFORNIA INSTITUTE OF TECHNOLOGY
The filing calls this plan CONSOLIDATED WELFARE PLAN OF THE CALIFORNIA INSTITUTE OF TECHNOLOGY.
CALIFORNIA INSTITUTE OF TECHNOLOGY of PASADENA, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1643307 · plan 601 · plan year 2025, filed Sep 24, 2026
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5,257 other employer plans in California have policy years ending in December. 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: death benefits.
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 8 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 4,921 people.
Reported premium across the insured contracts is $64,045,351, with $624,843 in disclosed broker commissions — about 1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 5 of the 8 contracts; the rest name a different broker or none.
8 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., ANTHEM BLUE CROSS, UNUM LIFE INSURANCE COMPANY OF AMERICA 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 |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 12,203 | Jan 1, 2026 | $8,627,425 | $585,589 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 88 | Jan 1, 2026 | $1,186,006 | $21,444 |
| SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | Dental | 1,248 | Jan 1, 2026 | $199,035 | $8,280 |
| ZURICH AMERICAN INSURANCE COMPANY | — | 8,387 | Jan 1, 2026 | $38,500 | $6,930 |
| HARTFORD LIFE AND ACCIDENT | — | 8,387 | Jan 1, 2026 | $13,000 | $2,600 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 4,921 | Jan 1, 2026 | $34,984,953 | $0 |
| ANTHEM BLUE CROSS | Health | 1,779 | Jan 1, 2026 | $17,740,056 | $0 |
| VISION SERVICE PLAN | Vision | 7,204 | Jan 1, 2026 | $1,256,376 | $0 |
Premium and claims on this contract
ANTHEM BLUE CROSS, contract 175104. For the contract year on this filing, the carrier reported $17,740,056 in premium earned and $17,928,816 in claims incurred. Dividing one by the other gives 101%.
- ANTHEM BLUE CROSS, contract 175104 reported $754,463 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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