form5500lookup

Form 5500 · Employee benefit plan · HEALDSBURG, CA

KLEIN BROS HOLDINGS LTD

The filing calls this plan KLEIN BROS HOLDINGS LTD HEALTH PLAN.

KLEIN BROS HOLDINGS LTD of HEALDSBURG, CA is a 198-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is LOCKTON COMPANIES, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 2 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2549768 · plan 506 · plan year 2025, filed Jan 23, 2026

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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.

All participants at the start of the year
198
Active at start of year
195
Active at end of year
186
Disclosed commissions
$185,666
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.158 of 198 participants (80%) on the largest contract
Dentaldeclared, not on Schedule A
Visiondeclared, not on Schedule A
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA186 of 198 participants (94%)
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA186 of 198 participants (94%)

Also declared: 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 3 insured contracts covering health, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 158 people.

The filing declares health, life, disability, dental and vision. Dental and vision appear with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.

Reported premium across the insured contracts is $2,347,534, with $185,666 in disclosed broker commissions — about 7.9% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

LOCKTON COMPANIES, LLC is the broker of record on all 3 contracts.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth102Jul 1, 2025$1,095,552$127,694
KAISER FOUNDATION HEALTH PLAN, INC.Health158Jul 1, 2025$1,132,733$37,089
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICALife, Disability186Jul 1, 2025$119,249$20,883

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
KLEIN BROS HOLDINGS LTD
EIN 94-2549768

The plan administrator is from line 3a of the main form. We publish company names only.

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