Form 5500 · Employee benefit plan · SAN DIEGO, CA
KLINEDINST PC
The filing calls this plan KLINEDINST PC HEALTH AND WELFARE PLAN.
KLINEDINST PC of SAN DIEGO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ACRISURE OF CALIFORNIA LLC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0075004 · plan 502 · plan year 2025, filed Jul 28, 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.
Benefits declared on this filing
2 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.
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 8 insured contracts covering health, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 86 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, placed with a carrier that is not on this filing, or written on one of the 2 contracts here that do not say what they cover.
Reported premium across the insured contracts is $2,361,345, with $165,968 in disclosed broker commissions — about 7% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
ACRISURE OF CALIFORNIA LLC is the broker of record on 5 of the 8 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 86 | Jan 1, 2026 | $1,302,205 | $91,155 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 76 | Jan 1, 2026 | $567,185 | $28,220 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | Health, Life, Disability | 151 | Jan 1, 2026 | $123,955 | $17,766 |
| CIGNA HEALTHCARE OF CALIFORNIA | Health | 17 | Jan 1, 2026 | $211,532 | $14,808 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 55 | Jan 1, 2026 | $32,353 | $8,473 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 13 | Jan 1, 2026 | $98,164 | $4,896 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | 19 | Jan 1, 2026 | $13,821 | $335 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 2 | Jan 1, 2026 | $12,130 | $315 |
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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