Form 5500 · Employee benefit plan · SAN JUAN CAPISTRANO, CA
ENSIGN SERVICES, INC.
Public Form 5500 records show how ENSIGN SERVICES, INC. (SAN JUAN CAPISTRANO, CA) structures its employee benefits. Its broker of record is MERCER HEALTH AND BENEFITS ADMIN. Coverage is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and 15 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 11-3645368 · plan 506 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 4,410 | December | $2,413,885 | $591,743 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 1,827 | December | $14,188,949 | $373,926 |
| UNUM INSURANCE COMPANY | — | 3,062 | December | $886,863 | $216,360 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 4,073 | December | $1,943,183 | $194,318 |
| UNUM INSURANCE COMPANY | — | 2,915 | December | $792,140 | $183,864 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 2,194 | December | $1,168,426 | $126,233 |
| UNUM INSURANCE COMPANY | — | 4,154 | December | $410,320 | $89,254 |
| VISION SERVICE PLAN | Vision | 15,824 | December | $1,681,128 | $76,786 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 34,847 | December | $991,081 | $74,331 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental | 7,923 | December | $1,117,237 | $55,649 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 302 | December | $1,871,480 | $42,921 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 63 | December | $503,562 | $24,134 |
| SIMNSA | Health | 46 | December | $169,770 | $11,884 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 16 | December | $106,890 | $3,227 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 76 | December | $22,012 | $947 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 257 | December | $1,530,316 | $0 |
Questions
Who is ENSIGN SERVICES, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, ENSIGN SERVICES, INC.'s broker of record is MERCER HEALTH AND BENEFITS ADMIN.
What insurance carrier does ENSIGN SERVICES, INC. use?
ENSIGN SERVICES, INC.'s benefit plan is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY, among 16 disclosed carriers.
When does ENSIGN SERVICES, INC.'s group plan renew?
The most recent Schedule A policy period for ENSIGN SERVICES, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ENSIGN SERVICES, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.