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Form 5500 · Employee benefit plan · CERRITOS, CA

COLLEGE HOSPITAL, INC.

The filing calls this plan COLLEGE HOSPITAL, INC. FLEXIBLE BENEFITS PLAN.

COLLEGE HOSPITAL, INC. of CERRITOS, CA is a 849-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is MARTIN FISHMAN AND ASSOCIATES, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 9 other carriers. The plan's most recent policy period ended in February.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-3421289 · plan 502 · plan year 2025, filed Jul 6, 2026

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229 other employer plans in California have policy years ending in February. 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.

All participants at the start of the year
849
Active at start of year
849
Active at end of year
917
Disclosed commissions
$386,810
Typical renewal
March 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.386 of 849 participants (45%) on the largest contract
Dentalinsured — UNITED CONCORDIA INSURANCE COMPANY1,385 of 849 participants
Visioninsured — VISION SERVICE PLAN952 of 849 participants
Lifeinsured — TRUSTMARK INSURANCE COMPANY345 of 849 participants (41%) on the largest contract
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY917 of 849 participants on the largest contract

Also declared: death benefits, 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 10 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 386 people.

Reported premium across the insured contracts is $8,239,855, with $386,810 in disclosed broker commissions — about 4.7% of premium.

The health contract's policy period ended in February, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.

MARTIN FISHMAN AND ASSOCIATES, INC. is the broker of record on 5 of the 10 contracts; the rest name a different broker or none.

10 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., AETNA HEALTH OF CALIFORNIA INC., AETNA LIFE INSURANCE COMPANY and UNITED CONCORDIA INSURANCE COMPANY. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER FOUNDATION HEALTH PLAN, INC.Health386Mar 1, 2025$3,298,352$155,708
AETNA HEALTH OF CALIFORNIA INC.Health453Mar 1, 2025$2,748,092$94,358
TRUSTMARK INSURANCE COMPANYLife345Jan 1, 2026$330,484$52,858
AETNA LIFE INSURANCE COMPANYHealth131Mar 1, 2025$938,051$32,029
METROPOLITAN LIFE INSURANCE COMPANYLife, Disability917May 1, 2025$204,290$24,518
UNITED CONCORDIA INSURANCE COMPANYDental1,385Mar 1, 2025$543,333$16,111
RELIANCE STANDARD LIFE INSURANCE COMPANYDisability93Mar 1, 2025$34,190$6,838
VISION SERVICE PLANVision952Jan 1, 2026$106,941$2,680
REACH EMPLOYEE ASSISTANCE, INC.—399Jan 1, 2026$31,508$945
AMERICAN FIDELITY ASSURANCE COMPANYDisability20Jan 1, 2026$4,614$765

Premium and claims on this contract

UNITED CONCORDIA INSURANCE COMPANY, contract 923785. For the contract year on this filing, the carrier reported $543,333 in premium earned and $528,758 in claims incurred. Dividing one by the other gives 97%.

  • UNITED CONCORDIA INSURANCE COMPANY, contract 923785 reported $86,661 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
COLLEGE HOSPITAL, INC.
EIN 95-3421289

The plan administrator is from line 3a of the main form. We publish company names only.

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Renewal calendar

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