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Form 5500 · Employee benefit plan · SAN JOSE, CA

EARTHQUAKES SOCCER LLC

Public Form 5500 records show how EARTHQUAKES SOCCER LLC (SAN JOSE, CA) structures its employee benefits. Its broker of record is LEAVITT PACIFIC INSURANCE BROKERS. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-5291970 · plan 501 · as of Jul 2026

Participants
116
Carriers on file
4
Disclosed commissions
$107,095
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth92December$92,335
PRINCIPAL LIFE INSURANCE COMPANYDental, Life, Disability177December$9,322
KAISER FOUNDATION HEALTH PLAN INC.Health21December$4,354
VISION SERVICE PLANVision96December$1,084

Questions

Who is EARTHQUAKES SOCCER LLC's benefits broker?

Per its most recent Form 5500 Schedule A, EARTHQUAKES SOCCER LLC's broker of record is LEAVITT PACIFIC INSURANCE BROKERS.

What insurance carrier does EARTHQUAKES SOCCER LLC use?

EARTHQUAKES SOCCER LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 4 disclosed carriers.

When does EARTHQUAKES SOCCER LLC's group plan renew?

The most recent Schedule A policy period for EARTHQUAKES SOCCER LLC ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from EARTHQUAKES SOCCER LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.