Form 5500 · Employee benefit plan · SAN JOSE, CA
HERITAGE BANK OF COMMERCE
The filing calls this plan THE HERITAGE BANK HEALTH AND WELFARE PLAN.
Public Form 5500 records show how HERITAGE BANK OF COMMERCE of SAN JOSE, CA, a finance and insurance employer, structures its employee benefits. Its broker of record is CBIZ IBENEFITS & INSURANCE SERVICES. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 77-0360405 · plan 501 · plan year 2023, filed Oct 11, 2024
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
323 other employer plans in California have policy years ending in May. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 6 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 656 people.
Reported premium across the insured contracts is $6,751,325, with $298,737 in disclosed broker commissions — about 4.4% of premium.
The health contract's policy period ended in May, while at least one ancillary line's policy period ended in June. The plan is on a split renewal cycle.
CBIZ IBENEFITS & INSURANCE SERVICES is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC., UNUM LIFE INSURANCE COMPANY OF AMERICA and AFLAC. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 656 | Jun 1, 2023 | $3,759,099 | $157,007 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 296 | Jan 1, 2024 | $2,611,030 | $103,655 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Life, Disability | 336 | Jun 1, 2023 | $271,072 | $24,809 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 380 | Jun 1, 2023 | $56,684 | $8,386 |
| AFLAC | Life, Disability | 34 | Jul 1, 2023 | $28,881 | $3,495 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Life, Disability | 28 | Jan 1, 2024 | $24,559 | $1,385 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
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Renewal calendar
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