Form 5500 · Employee benefit plan · FULLERTON, CA
LUBERSKI INC.
LUBERSKI INC. of FULLERTON, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BENEFITS AMERICA INSURANCE SERVICES. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC. and 3 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0296190 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 87 | February | $26,120 |
| GUARDIAN | Dental, Life, Disability | 251 | February | $17,673 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 1 | February | $904 |
| CALIFORNIA PHYSICIANS SERVICE | Health | 136 | February | $0 |
Questions
Who is LUBERSKI INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, LUBERSKI INC.'s broker of record is BENEFITS AMERICA INSURANCE SERVICES.
What insurance carrier does LUBERSKI INC. use?
LUBERSKI INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC., among 4 disclosed carriers.
When does LUBERSKI INC.'s group plan renew?
The most recent Schedule A policy period for LUBERSKI INC. ended in February. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from LUBERSKI INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.