Form 5500 · Employee benefit plan · SAN FRANCISCO, CA
DOMINO DATA LAB, INC.
DOMINO DATA LAB, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 90-0920871 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 28 | December | $15,157 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 140 | December | $12,605 |
| VISION SERVICE PLAN | Vision | 141 | December | $1,280 |
Questions
Who is DOMINO DATA LAB, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, DOMINO DATA LAB, INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does DOMINO DATA LAB, INC. use?
DOMINO DATA LAB, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 3 disclosed carriers.
When does DOMINO DATA LAB, INC.'s group plan renew?
The most recent Schedule A policy period for DOMINO DATA LAB, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from DOMINO DATA LAB, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.