Form 5500 · Employee benefit plan · ALISO VIEJO, CA
COVENANT CARE CALIFORNIA, LLC
COVENANT CARE CALIFORNIA, LLC of ALISO VIEJO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL INS SVCS INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC. and 1 other carrier. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0631540 · plan 514 · as of Aug 2026
Plan brief
All 4 insured contracts are health coverage, split across KAISER FOUNDATION HEALTH PLAN INC. and RELIASTAR LIFE INSURANCE COMPANY.
Reported premium across the insured contracts is $5,748,933, with $53,294 in disclosed broker commissions — about 0.9% 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.
HUB INTERNATIONAL INS SVCS INC. is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
Two carriers split the book: KAISER FOUNDATION HEALTH PLAN INC. and RELIASTAR LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 427 | May | $3,871,990 | $39,064 |
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 231 | May | $1,416,533 | $14,230 |
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 48 | May | $276,188 | $0 |
| RELIASTAR LIFE INSURANCE COMPANY | — | 886 | May | $184,222 | $0 |
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