Form 5500 · Employee benefit plan · MOJAVE, CA
GOLDEN QUEEN MINING COMPANY, LLC
GOLDEN QUEEN MINING COMPANY, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is INSURICA CA INSURANCE SERVICES INC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 47-1904841 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 273 | December | $68,888 |
| DELTA DENTAL OF CALIFORNIA | Dental | 556 | December | $20,993 |
| VISION SERVICE PLAN | Vision | 263 | December | $6,313 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 280 | December | $2,889 |
| BLUE SHIELD OF CALIFORNIA | Health | 254 | December | $0 |
Questions
Who is GOLDEN QUEEN MINING COMPANY, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, GOLDEN QUEEN MINING COMPANY, LLC's broker of record is INSURICA CA INSURANCE SERVICES INC.
What insurance carrier does GOLDEN QUEEN MINING COMPANY, LLC use?
GOLDEN QUEEN MINING COMPANY, LLC's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 5 disclosed carriers.
When does GOLDEN QUEEN MINING COMPANY, LLC's group plan renew?
The most recent Schedule A policy period for GOLDEN QUEEN MINING COMPANY, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GOLDEN QUEEN MINING COMPANY, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.