Form 5500 · Employee benefit plan · COSTA MESA, CA
PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER
PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER of COSTA MESA, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SPECTRUM RISK MGMT. AND INS. SVCS.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 9 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0492281 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 87 | February | $35,542 |
| BLUE CROSS BLUE SHIELD OF TEXAS | Health | 16 | October | $5,523 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 18 | February | $5,165 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 22 | February | $2,692 |
| BLUE CROSS BLUE SHIELD OF ARIZONA | Health | 10 | October | $1,368 |
| AFLAC | Health, Dental, Life | 7 | February | $639 |
| AMERITAS LIFE INSURANCE CORPORATION | Vision | 37 | March | $461 |
| AFLAC | Health, Dental, Life | 4 | February | $344 |
| AFLAC | Health, Dental, Life | 2 | February | $176 |
| DELTA DENTAL OF CALIFORNIA | Dental | 99 | August | $0 |
Questions
Who is PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER's benefits broker?
Per its most recent Form 5500 Schedule A, PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER's broker of record is SPECTRUM RISK MGMT. AND INS. SVCS..
What insurance carrier does PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER use?
PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 10 disclosed carriers.
When does PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER's group plan renew?
The most recent Schedule A policy period for PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER ended in February. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.