Form 5500 · Employee benefit plan · EMERYVILLE, CA
GROCERY OUTLET, INC.
GROCERY OUTLET, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is RELATION INSURANCE SERVICES OF CA. Coverage is written through BLUE CROSS OF CALIFORNIA and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-1513561 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health | 656 | December | $178,413 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 674 | December | $113,564 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 930 | December | $9,503 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 6 | December | $588 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 95 | December | $0 |
| VISION SERVICE PLAN | Vision | 750 | December | $0 |
Questions
Who is GROCERY OUTLET, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, GROCERY OUTLET, INC.'s broker of record is RELATION INSURANCE SERVICES OF CA.
What insurance carrier does GROCERY OUTLET, INC. use?
GROCERY OUTLET, INC.'s benefit plan is written through BLUE CROSS OF CALIFORNIA, among 6 disclosed carriers.
When does GROCERY OUTLET, INC.'s group plan renew?
The most recent Schedule A policy period for GROCERY OUTLET, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from GROCERY OUTLET, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.