form5500lookup

Form 5500 · Employee benefit plan · SAN FRANCISCO, CA

DOLBY LABORATORIES, INC.

DOLBY LABORATORIES, INC. of SAN FRANCISCO, CA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is ALLIANT INSURANCE SERVICES, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 7 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2377558 · plan 506 · as of Aug 2026

Participants
1,209
Carriers on file
8
Disclosed commissions
$298,003
Renewal month
June

Plan brief

Schedule A lists 8 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 520 people.

Reported premium across the insured contracts is $6,921,105, with $298,003 in disclosed broker commissions — about 4.3% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

ALLIANT INSURANCE SERVICES, INC. is the broker of record on 3 of the 8 contracts; the rest name a different broker or none.

8 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN, INC., STANDARD INSURANCE COMPANY, VISION SERVICE PLAN and MODERN LIFE, INC. among them — with KAISER FOUNDATION HEALTH PLAN, INC. writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
STANDARD INSURANCE COMPANYLife, Disability1,007June$1,502,072$225,310
KAISER FOUNDATION HEALTH PLAN, INC.Health520June$4,842,609$48,280
VISION SERVICE PLANVision1,010June$227,144$11,351
AETNA INTERNATIONALHealth, Dental, Vision8June$76,368$8,094
FOUR EVER LIFE INS CO.Health1,007June$33,120$4,968
CIGNA HEALTH AND LIFE INSURANCE COMPANYDental1,674June$52,326$0
ACE AMERICAN INSURANCE COMPANY1,007June$8,861$0
MODERN LIFE, INC.1,323June$178,605$0

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