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Form 5500 · Employee benefit plan · MOUNTAIN VIEW, CA

SAMSUNG RESEARCH AMERICA, INC.

SAMSUNG RESEARCH AMERICA, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is CUSTOM BENEFITS PROG INC AN AON CO. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-3170778 · plan 501 · as of Jul 2026

Participants
850
Carriers on file
6
Disclosed commissions
$20,772
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANY281December$8,076
CIGNA HEALTH AND LIFE INSURANCE COMPANY353December$6,373
CIGNA HEALTH AND LIFE INSURANCE COMPANY344December$6,323
KAISER FOUNDATION HEALTH PLAN INCHealth220December$0
LYRA HEALTH, INC.1,895December$0
KAISER FOUNDATION HEALTH PLAN INCHealth17December$0

Questions

Who is SAMSUNG RESEARCH AMERICA, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, SAMSUNG RESEARCH AMERICA, INC.'s broker of record is CUSTOM BENEFITS PROG INC AN AON CO.

What insurance carrier does SAMSUNG RESEARCH AMERICA, INC. use?

SAMSUNG RESEARCH AMERICA, INC.'s benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 6 disclosed carriers.

When does SAMSUNG RESEARCH AMERICA, INC.'s group plan renew?

The most recent Schedule A policy period for SAMSUNG RESEARCH AMERICA, INC. ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from SAMSUNG RESEARCH AMERICA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.