Form 5500 · Employee benefit plan · EMERYVILLE, CA
PEET'S COFFEE, INC.
PEET'S COFFEE, INC. of EMERYVILLE, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC and 13 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1660507 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC | Health | 831 | December | $155,564 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 1,148 | December | $32,717 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 155 | December | $28,535 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 2,576 | December | $18,114 |
| VISION SERVICE PLAN | Vision | 1,085 | December | $17,338 |
| UNUM INSURANCE COMPANY | — | 239 | December | $12,219 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 2,623 | December | $11,651 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC | Health | 35 | December | $6,961 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 33 | December | $6,929 |
| METLIFE LEGAL PLANS | — | 117 | August | $1,694 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 11 | December | $1,632 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 3 | December | $1,415 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 110 | December | $826 |
| HEALTH ADVOCATE SOLUTIONS, INC. | Health | 268 | December | $0 |
Questions
Who is PEET'S COFFEE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PEET'S COFFEE, INC.'s broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does PEET'S COFFEE, INC. use?
PEET'S COFFEE, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC, among 14 disclosed carriers.
When does PEET'S COFFEE, INC.'s group plan renew?
The most recent Schedule A policy period for PEET'S COFFEE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PEET'S COFFEE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.