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Form 5500 · Employee benefit plan · SAN JOSE, CA

CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION

The filing calls this plan CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION MEMBER WELFARE PLAN.

Public Form 5500 records show how CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION of SAN JOSE, CA, a education employer, structures its employee benefits. Its broker of record is UNITED INSURANCE PARTNERS, LLC.. Coverage is written through AMERICAN FIDELITY ASSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-1301733 · plan 530 · plan year 2025, filed Aug 12, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

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

Funding not settled by the filing

The filing does not report enough to settle how this plan pays for benefits.

All participants at the start of the year
142,736
Active at start of year
142,736
Active at end of year
146,780
Disclosed commissions
$92,161
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION186 of 142,736 participants (0.1%) on the largest contract
Dentalinsured — METROPOLITAN LIFE INSURANCE COMPANY146,780 of 142,736 participants on the largest contract
Visioninsured — VISION SERVICE PLAN549 of 142,736 participants (0.4%)
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY146,780 of 142,736 participants
Disabilityinsured — AMERICAN FIDELITY ASSURANCE COMPANY42,315 of 142,736 participants (30%)

Health: the largest of the 3 insured health contracts, with SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION, covers 186 of 142,736 participants (0.1%) on Schedule A.

Vision: VISION SERVICE PLAN covers 549 of 142,736 participants (0.4%) on Schedule A.

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 6 insured contracts covering health, dental, vision, life and disability; the largest, with AMERICAN FIDELITY ASSURANCE COMPANY, covers 42,315 people.

Reported premium across the insured contracts is $18,322,116, with $92,161 in disclosed broker commissions — about 0.5% 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.

UNITED INSURANCE PARTNERS, LLC. is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including AMERICAN FIDELITY ASSURANCE COMPANY, METROPOLITAN LIFE INSURANCE COMPANY, VISION SERVICE PLAN and SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION. AMERICAN FIDELITY ASSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYDental, Life146,780Jan 1, 2026$876,660$89,986
SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATIONHealth, Dental186Jan 1, 2026$67,757$1,017
METROPOLITAN LIFE INSURANCE COMPANYHealth8Jan 1, 2026$7,272$751
METROPOLITAN LIFE INSURANCE COMPANYHealth10Jan 1, 2026$3,926$407
AMERICAN FIDELITY ASSURANCE COMPANYDisability42,315Jan 1, 2026$17,278,642$0
VISION SERVICE PLANVision549Jan 1, 2026$87,859$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
CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
EIN 94-1301733

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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Renewal calendar

5,257 other employer plans in California are January 1 renewals (policy year ends December).

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