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Form 5500 · Employee benefit plan · ALISO VIEJO, CA

OXFORD PREPARATORY ACADEMY

OXFORD PREPARATORY ACADEMY of ALISO VIEJO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is VARIOUS - SEE ATTACHED. Coverage is written through CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) and 3 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-1342162 · plan 501 · as of Aug 2026

Participants
139
Carriers on file
4
Disclosed commissions
$10,281
Renewal month
June

Plan brief

Schedule A lists 4 insured contracts covering health, dental, vision and life; the largest, with CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA), covers 102 people.

Reported premium across the insured contracts is $1,446,499, with $10,281 in disclosed broker commissions — about 0.7% 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.

VARIOUS - SEE ATTACHED is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.

4 carriers appear on the filing — CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA), KAISER FOUNDATION HEALTH PLAN INC., THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY — with CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
COLONIAL LIFE & ACCIDENT INSURANCE COMPANYLife32June$43,817$9,830
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life151June$129,853$451
CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA)Health102June$791,991$0
KAISER FOUNDATION HEALTH PLAN INC.Health86June$480,838$0

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