Form 5500 · Employee benefit plan · PASADENA, CA
POLYTECHNIC SCHOOL
POLYTECHNIC SCHOOL's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is IMA, INC.. Coverage is written through BLUE CROSS OF CALIFORNIA and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1641456 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health, Dental, Vision | 335 | December | $92,364 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 152 | December | $48,557 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 203 | December | $4,534 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 204 | December | $3,988 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 84 | December | $3,941 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 43 | December | $2,423 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 74 | December | $2,249 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 22 | December | $0 |
Questions
Who is POLYTECHNIC SCHOOL's benefits broker?
Per its most recent Form 5500 Schedule A, POLYTECHNIC SCHOOL's broker of record is IMA, INC..
What insurance carrier does POLYTECHNIC SCHOOL use?
POLYTECHNIC SCHOOL's benefit plan is written through BLUE CROSS OF CALIFORNIA, among 8 disclosed carriers.
When does POLYTECHNIC SCHOOL's group plan renew?
The most recent Schedule A policy period for POLYTECHNIC SCHOOL ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from POLYTECHNIC SCHOOL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.