Form 5500 · Employee benefit plan · SAN FRANCISCO, CA
DOLBY LABORATORIES, INC.
The filing calls this plan THE DOLBY LABORATORIES, INC. EMPLOYEE BENEFITS PLAN.
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.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2377558 · plan 506 · plan year 2025, filed Apr 14, 2026
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605 other employer plans in California have policy years ending in June. 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
Dental: the largest of the 2 insured dental contracts, with AETNA INTERNATIONAL, covers 8 of 1,209 participants (0.7%) on Schedule A.
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 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 2 of the 8 contracts; the rest name a different broker or none.
8 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., STANDARD INSURANCE COMPANY, VISION SERVICE PLAN and MODERN HEALTH. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life, Disability | 1,007 | Jul 1, 2025 | $1,502,072 | $225,310 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 520 | Jul 1, 2025 | $4,842,609 | $48,280 |
| VISION SERVICE PLAN | Vision | 1,010 | Jul 1, 2025 | $227,144 | $11,351 |
| AETNA INTERNATIONAL | Health, Dental, Vision | 8 | Jul 1, 2025 | $76,368 | $8,094 |
| FOUR EVER LIFE INS CO. | Health | 1,007 | Jul 1, 2025 | $33,120 | $4,968 |
| MODERN HEALTH | — | 1,323 | Jul 1, 2025 | $178,605 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental | 1,674 | Jul 1, 2025 | $52,326 | $0 |
| ACE AMERICAN INSURANCE COMPANY | — | 1,007 | Jul 1, 2025 | $8,861 | $0 |
Premium and claims on this contract
STANDARD INSURANCE COMPANY, contract 164438. For the contract year on this filing, the carrier reported $1,420,465 in premium earned and $845,030 in claims incurred. Dividing one by the other gives 59%.
- STANDARD INSURANCE COMPANY, contract 164438 reported $1,280,186 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.
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
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