Form 5500 · Employee benefit plan · LIVERMORE, CA
FORMFACTOR, INC.
FORMFACTOR, INC. of LIVERMORE, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 10 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 13-3711155 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 1,469 | December | $35,950 |
| TRUSTMARK INSURANCE COMPANY | Life | 24 | October | $7,422 |
| FOUR EVER LIFE INSURANCE COMPANY | Health | 8 | February | $5,911 |
| METLIFE LEGAL PLANS | — | 204 | August | $3,427 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 229 | December | $1,766 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 37 | December | $0 |
| FEDERAL INSURANCE COMPANY | — | 1,469 | December | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health, Dental | 1,372 | December | $0 |
| LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 1,469 | December | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 1,288 | December | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 169 | December | $0 |
Questions
Who is FORMFACTOR, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, FORMFACTOR, INC.'s broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does FORMFACTOR, INC. use?
FORMFACTOR, INC.'s benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 11 disclosed carriers.
When does FORMFACTOR, INC.'s group plan renew?
The most recent Schedule A policy period for FORMFACTOR, INC. ended in February. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FORMFACTOR, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.