Form 5500 · Employee benefit plan · SANTA ROSA, CA
COMMUNITY CHILD CARE COUNCIL OF SONOMA COUNTY, INC.
The filing calls this plan CCCC WELFARE BENEFITS PLAN.
COMMUNITY CHILD CARE COUNCIL OF SONOMA COUNTY, INC. of SANTA ROSA, CA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is RSC INSURANCE BROKERAGE, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2274620 · plan 502 · plan year 2025, filed Jul 13, 2026
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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, 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, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 71 people.
Reported premium across the insured contracts is $1,580,255, with $62,008 in disclosed broker commissions — about 3.9% 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.
RSC INSURANCE BROKERAGE, INC. is the broker of record on all 4 contracts.
4 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., SUTTER HEALTH PLAN, PRINCIPAL LIFE INSURANCE COMPANY and WESTERN HEALTH ADVANTAGE. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| SUTTER HEALTH PLAN | Health | 40 | Jan 1, 2026 | $426,364 | $21,318 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 71 | Jan 1, 2026 | $774,113 | $17,785 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 281 | Jan 1, 2026 | $191,601 | $13,858 |
| WESTERN HEALTH ADVANTAGE | Health | 25 | Jan 1, 2026 | $188,177 | $9,047 |
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.
How this plan compares
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