Form 5500 · Employee benefit plan · VACAVILLE, CA
CALSON MANAGEMENT
The filing calls this plan CALSON MANAGEMENT EMPLOYEE BENEFIT PLAN.
CALSON MANAGEMENT of VACAVILLE, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ACRISURE OF CALIFORNIA LLC. Coverage is written through BLUE CROSS OF CALIFORNIA and 3 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-0748683 · plan 501 · plan year 2025, filed Mar 13, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
323 other employer plans in California have policy years ending in May. 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: 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 4 insured contracts covering health, dental, vision and life; the largest, with BLUE CROSS OF CALIFORNIA, covers 181 people.
Reported premium across the insured contracts is $1,241,776, with $68,709 in disclosed broker commissions — about 5.5% of premium.
The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
ACRISURE OF CALIFORNIA LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including BLUE CROSS OF CALIFORNIA, METROPOLITAN LIFE INSURANCE COMPANY, ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY and UNUM LIFE INSURANCE COMPANY OF AMERICA. BLUE CROSS OF CALIFORNIA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | Health | 10 | Jun 1, 2025 | $94,189 | $54,329 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision | 347 | Jun 1, 2025 | $150,160 | $13,545 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 492 | Jun 1, 2025 | $5,038 | $835 |
| BLUE CROSS OF CALIFORNIA | Health | 181 | Jun 1, 2025 | $992,389 | $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.
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
How this plan compares
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Renewal calendar
323 other employer plans in California are June 1 renewals (policy year ends May).
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