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Form 5500 · Employee benefit plan · SANTA CLARA, CA

HITACHI AMERICA, LTD

The filing calls this plan HITACHI AMERICA, LTD., GROUP HEALTH AND WELFARE PLAN.

HITACHI AMERICA, LTD of SANTA CLARA, CA is a 14,088-participant manufacturing employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is WOODRUFF-SAWYER & COMPANY. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 14 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-7688845 · plan 501 · plan year 2024, filed Oct 15, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

5,257 other employer plans in California have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
14,088
Active at start of year
13,674
Active at end of year
18,705
Disclosed commissions
$2,207,581
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.389 of 14,088 participants (2.8%) on the largest contract
Dentalinsured — METROPOLITAN LIFE INSURANCE COMPANY30,395 of 14,088 participants on the largest contract
Visioninsured — HAWAII MEDICAL SERVICE ASSOCIATION1 of 14,088 participants (under 0.1%)
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY5,466 of 14,088 participants (39%) on the largest contract
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY6,900 of 14,088 participants (49%) on the largest contract

Health: the largest of the 13 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC., covers 389 of 14,088 participants (2.8%) on Schedule A.

Vision: HAWAII MEDICAL SERVICE ASSOCIATION covers 1 of 14,088 participants (under 0.1%) on Schedule A.

Also declared: prepaid legal, death benefits, 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 29 insured contracts covering health, dental, vision, life, disability and stop-loss; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 30,395 people.

The medical plan carries stop-loss coverage: the filing reports the plan paying its own health claims, with insured protection against large ones.

Reported premium across the insured contracts is $54,244,428, with $2,207,581 in disclosed broker commissions — about 4.1% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.

WOODRUFF-SAWYER & COMPANY is the broker of record on 14 of the 29 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
RELIASTAR LIFE INSURANCE COMPANY—10,397Jan 1, 2025$2,914,959$582,992
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife5,466Jan 1, 2025$5,497,991$544,497
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife7,550Jan 1, 2025$4,476,251$486,159
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife2,261Jan 1, 2025$1,991,253$222,597
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability2,262Jan 1, 2025$986,115$110,121
METLIFE LEGAL PLANS—4,717Jan 1, 2025$591,705$91,519
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability5,580Jan 1, 2025$188,456$81,327
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability5,466Jan 1, 2025$3,012,774$30,552
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability6,900Jan 1, 2025$3,035,173$20,385
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife3,063Jan 1, 2025$297,156$19,181
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth69Jan 1, 2025$555,299$13,237
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth12Jan 1, 2025$57,807$2,320
KAISER FOUNDATION HEALTH PLAN OF COLORADOHealth20Jan 1, 2025$111,894$1,325
FOUR EVER LIFE INS CO.Health, Dental3Jan 1, 2025$77,212$772
KAISER FOUNDATION HEALTH PLAN, INC.Health3Jan 1, 2025$15,711$597
METROPOLITAN LIFE INSURANCE COMPANYDental30,395Jan 1, 2025$11,458,667$0
ANTHEM INSURANCE COMPANIES, INC.Stop-loss28,583Jan 1, 2025$8,126,549$0
KAISER FOUNDATION HEALTH PLAN, INC.Health389Jan 1, 2025$4,206,906$0
KAISER FOUNDATION HEALTH PLAN, INC.Health345Jan 1, 2025$2,493,509$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability5,900Jan 1, 2025$1,371,199$0
KAISER FOUNDATION HEALTH PLAN, INC.Health122Jan 1, 2025$1,064,108$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth82Jan 1, 2025$791,642$0
KAISER FOUNDATION HEALTH PLAN, INC.Health85Jan 1, 2025$418,551$0
COMPSYCH CORPORATION—13,806Jan 1, 2025$157,586$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability353Jan 1, 2025$129,168$0
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.Health17Jan 1, 2025$122,438$0
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.Health15Jan 1, 2025$86,150$0
HAWAII MEDICAL SERVICE ASSOCIATIONHealth, Dental, Vision1Jul 1, 2024$8,199$0
FEDERAL INSURANCE COMPANY—18,705May 12, 2024—$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
HITACHI AMERICA, LTD
EIN 23-7688845
ANTHEM INSURANCE COMPANY
Claims processing · Contract administrator · Recordkeeping and information management · EIN 35-0781558
$10,562,557
paid directly by the plan
BUSINESSSOLVER.COM, INC.
Claims processing · EIN 42-1503807
$1,168,508
paid directly by the plan
WOODRUFF-SAWYER & CO.
Named on Schedule C · EIN 94-1625126
$0
paid directly by the plan
VISION SERVICE PLAN
Claims processing · EIN 22-2777159
$141,462
paid directly by the plan
LINCOLN NATIONAL LIFE INSURANCE CO.
Claims processing · EIN 35-0472330
$114,385
paid directly by the plan
CVSHEALTH
Claims processing · EIN 05-0340626
$-1,571,996
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$13,496,953
Paid out in benefits
$224,494,205
Paid to insurance carriersSchedule H, line 2e(2)
$50,941,688
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$46,000

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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