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Form 5500 · Employee benefit plan · VISTA, CA

PLUG CONNECTION, LLC

The filing calls this plan THE PLUG CONNECTION HEALTH & WELFARE BENEFITS PLAN.

PLUG CONNECTION, LLC of VISTA, CA spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is GALLAGHER BENEFITS SERVICES, INC.. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in September.

Benefits broker of record
Policy year ends
Septemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-3785454 · plan 501 · plan year 2025, filed May 11, 2026

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314 other employer plans in California have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
265
Active at start of year
265
Active at end of year
260
Disclosed commissions
$48,139
Typical renewal
October 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.83 of 265 participants (31%) on the largest contract
Dentalinsured — MEDIEXCEL HEALTH PLAN5 of 265 participants (1.9%) on the largest contract
Visioninsured — EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.72 of 265 participants (27%)
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY260 of 265 participants (98%)
Disabilitynot declared on this filing

Dental: the largest of the 2 insured dental contracts, with MEDIEXCEL HEALTH PLAN, covers 5 of 265 participants (1.9%) on Schedule A.

Also declared: death benefits, other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 5 insured contracts covering health, dental, vision and life; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 83 people.

Reported premium across the insured contracts is $834,264, with $48,139 in disclosed broker commissions — about 5.8% of premium.

The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.

GALLAGHER BENEFITS SERVICES, INC. is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

5 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY, MEDIEXCEL HEALTH PLAN and BLUE CROSS OF CALIFORNIA. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER FOUNDATION HEALTH PLAN, INC.Health83Oct 1, 2025$748,231$37,467
UNITED OF OMAHA LIFE INSURANCE COMPANYLife260Oct 1, 2025$36,211$6,616
BLUE CROSS OF CALIFORNIADental116Oct 1, 2025$19,530$1,968
MEDIEXCEL HEALTH PLANHealth, Dental5Oct 1, 2025$22,988$1,349
EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.Vision72Oct 1, 2025$7,304$739

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
PLUG CONNECTION, LLC
EIN 81-3785454

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

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Renewal calendar

314 other employer plans in California are October 1 renewals (policy year ends September).

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