Form 5500 · Employee benefit plan · LOS ANGELES, CA
SAMYS CAMERA, INC.
SAMYS CAMERA, INC. of LOS ANGELES, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GALLAGHER BENEFIT SERVICES. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-3083662 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC | Health | 101 | December | $20,634 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 54 | October | $6,599 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life | 102 | December | $4,179 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 25 | October | $3,309 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 21 | October | $2,117 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 2 | December | $796 |
Questions
Who is SAMYS CAMERA, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, SAMYS CAMERA, INC.'s broker of record is GALLAGHER BENEFIT SERVICES.
What insurance carrier does SAMYS CAMERA, INC. use?
SAMYS CAMERA, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC, among 6 disclosed carriers.
When does SAMYS CAMERA, INC.'s group plan renew?
The most recent Schedule A policy period for SAMYS CAMERA, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SAMYS CAMERA, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.