Form 5500 · Employee benefit plan · LOS ANGELES, CA
SAN ANTONIO WINERY
The filing calls this plan SAN ANTONIO WINERY EMPLOYEE BENEFITS PLAN.
SAN ANTONIO WINERY of LOS ANGELES, CA is a 438-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is AFFINITY BENEFIT INSURANCE SERVICES. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 8 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1824179 · plan 501 · plan year 2025, filed Dec 12, 2025
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605 other employer plans in California have policy years ending in June. 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.
Benefits declared on this filing
Also declared: 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 12 insured contracts covering health, dental, vision and life; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 206 people.
Reported premium across the insured contracts is $5,350,526, with $264,621 in disclosed broker commissions — about 4.9% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
AFFINITY BENEFIT INSURANCE SERVICES is the broker of record on 5 of the 12 contracts; the rest name a different broker or none.
9 carriers appear on the filing, including CIGNA HEALTH AND LIFE INSURANCE COMPANY, CIGNA HEALTHCARE OF CALIFORNIA, KAISER FOUNDATION HEALTH PLAN, INC. and PRINCIPAL LIFE INSURANCE COMPANY. CIGNA HEALTH AND LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 206 | Jul 1, 2025 | $2,950,704 | $132,502 |
| CIGNA HEALTHCARE OF CALIFORNIA | Health | 96 | Jul 1, 2025 | $1,076,656 | $48,450 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 128 | Jul 1, 2025 | $856,227 | $41,603 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental, Vision, Life | 424 | Jul 1, 2025 | $266,800 | $27,645 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 25 | Jul 1, 2025 | $158,037 | $7,818 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 47 | Jul 1, 2025 | $24,331 | $4,442 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 87 | Jul 1, 2025 | $15,442 | $2,832 |
| CIGNA HEALTHCARE OF COLORADO, INC. | Health | 0 | Jul 1, 2025 | $2,329 | $105 |
| CIGNA HEALTHCARE OF NEW JERSEY, INC. | Health | 0 | Jul 1, 2025 | — | $0 |
| CIGNA HEALTHCARE OF NORTH CAROLINA, INC. | Health | 0 | Jul 1, 2025 | — | $0 |
| CIGNA HEALTHCARE OF FLORIDA, INC. | Health | 0 | Jul 1, 2025 | — | $-209 |
| CIGNA HEALTHCARE OF TENNESSEE, INC. | Health | 0 | Jul 1, 2025 | — | $-567 |
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.
Other plans filed by this employer
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