Form 5500 · Employee benefit plan · HIGHLAND, CA
SAN MANUEL BAND OF MISSION INDIANS
SAN MANUEL BAND OF MISSION INDIANS of HIGHLAND, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BLUE CHIP BENEFITS, LLC. Coverage is written through CALIFORNIA PHYSICIANS SERVICE and 5 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0526268 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 6 insured contracts covering health, dental, life and disability; the largest, with CALIFORNIA PHYSICIANS SERVICE, covers 5,561 people.
Reported premium across the insured contracts is $83,063,639, with $116,507 in disclosed broker commissions — about 0.1% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
BLUE CHIP BENEFITS, LLC is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing — CALIFORNIA PHYSICIANS SERVICE, KAISER FOUNDATION HEALTH PLAN, INC., LIFE INSURANCE COMPANY OF NORTH AMERICA and CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES among them — with CALIFORNIA PHYSICIANS SERVICE writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Life | 791 | March | $406,686 | $116,507 |
| MAGELLAN HEALTHCARE | — | 7,489 | March | $113,267 | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 4,903 | March | $39,149,619 | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental | 3,927 | March | $630,337 | $0 |
| CALIFORNIA PHYSICIANS SERVICE | Health | 5,561 | March | $40,691,755 | $0 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 6,522 | March | $2,071,975 | $0 |
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