Form 5500 · Employee benefit plan · SAN JOSE, CA
INDIAN HEALTH CENTER OF SANTA CLARA COUNTY
INDIAN HEALTH CENTER OF SANTA CLARA COUNTY's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is ACRISURE OF CALIFORNIA LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC and 8 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2476242 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC | Health | 290 | June | $169,415 |
| SUTTER HEALTH PLAN | Health | 92 | June | $51,011 |
| DELTA DENTAL OF CALIFORNIA | Dental | 406 | June | $27,260 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 263 | June | $8,098 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 263 | June | $2,558 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 52 | June | $2,267 |
| VISION SERVICE PLAN | Vision | 194 | June | $1,856 |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | — | — | June | $0 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | — | June | $0 |
Questions
Who is INDIAN HEALTH CENTER OF SANTA CLARA COUNTY's benefits broker?
Per its most recent Form 5500 Schedule A, INDIAN HEALTH CENTER OF SANTA CLARA COUNTY's broker of record is ACRISURE OF CALIFORNIA LLC.
What insurance carrier does INDIAN HEALTH CENTER OF SANTA CLARA COUNTY use?
INDIAN HEALTH CENTER OF SANTA CLARA COUNTY's benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC, among 9 disclosed carriers.
When does INDIAN HEALTH CENTER OF SANTA CLARA COUNTY's group plan renew?
The most recent Schedule A policy period for INDIAN HEALTH CENTER OF SANTA CLARA COUNTY ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from INDIAN HEALTH CENTER OF SANTA CLARA COUNTY's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.