Form 5500 · Employee benefit plan · SANTA ROSA, CA
MAYACACAMA GOLF CLUB, LLC
MAYACACAMA GOLF CLUB, LLC of SANTA ROSA, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is EPIC - CONCORD. Coverage is written through SUTTER HEALTH PLAN and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-3347830 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| SUTTER HEALTH PLAN | Health | 133 | December | $55,073 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 189 | December | $13,861 |
Questions
Who is MAYACACAMA GOLF CLUB, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, MAYACACAMA GOLF CLUB, LLC's broker of record is EPIC - CONCORD.
What insurance carrier does MAYACACAMA GOLF CLUB, LLC use?
MAYACACAMA GOLF CLUB, LLC's benefit plan is written through SUTTER HEALTH PLAN, among 2 disclosed carriers.
When does MAYACACAMA GOLF CLUB, LLC's group plan renew?
The most recent Schedule A policy period for MAYACACAMA GOLF CLUB, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MAYACACAMA GOLF CLUB, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.