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Form 5500 · Employee benefit plan · SAN JOSE, CA

SAN MATEO HOTEL EMPLOYEES & RESTAURANT EMPLOYEES WELFARE FUND

SAN MATEO HOTEL EMPLOYEES & RESTAURANT EMPLOYEES WELFARE FUND of SAN JOSE, CA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is STEALTH PARTNER GROUP, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-6081299 · plan 501 · plan year 2024, filed Oct 13, 2025

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5,257 other employer plans in California have policy years ending in December. 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 plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

All participants at the start of the year
2,436
Active at start of year
2,436
Active at end of year
2,848
Disclosed commissions
$182,079
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.3,765 of 2,436 participants
Dentalinsured — UNITEDHEALTHCARE INSURANCE COMPANY2,125 of 2,436 participants (87%)
Visioninsured — VISION SERVICE PLAN2,924 of 2,436 participants
Lifeinsured — THE UNION LABOR LIFE INSURANCE COMPANY2,887 of 2,436 participants
Disabilitynot declared on this filing

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.

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 5 insured contracts covering health, dental, vision and life; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 3,765 people.

Reported premium across the insured contracts is $27,490,346, with $182,079 in disclosed broker commissions — about 0.7% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

STEALTH PARTNER GROUP, LLC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., THE UNION LABOR LIFE INSURANCE COMPANY, UNITEDHEALTHCARE INSURANCE COMPANY and VISION SERVICE PLAN. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE UNION LABOR LIFE INSURANCE COMPANY—1,132Jan 1, 2025$1,811,656$181,156
THE UNION LABOR LIFE INSURANCE COMPANYLife2,887Jan 1, 2025$92,364$923
KAISER FOUNDATION HEALTH PLAN, INC.Health3,765Jan 1, 2025$24,635,351$0
UNITEDHEALTHCARE INSURANCE COMPANYDental2,125Jan 1, 2025$702,404$0
VISION SERVICE PLANVision2,924Jan 1, 2025$248,571$0

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
SAN MATEO HOTEL EMPLOYEES & RESTAURANT EMPLOYEES WELFARE FUND
EIN 94-6081299
UNITED ADMINISTRATIVE SERVICES
Contract administrator · EIN 94-1749354
$629,606
paid directly by the plan
ANTHEM BLUE CROSS LIFE & HEALTH INS
Claims processing · Contract administrator · Recordkeeping and information management · EIN 95-4331852
$259,079
paid directly by the plan
ASCENDANT HEALTHCARE
Named on Schedule C · EIN 26-3768186
$67,334
paid directly by the plan
SMART SOURCE LLC
Named on Schedule C · EIN 30-0830429
$41,460
paid directly by the plan
INEICH & COMPANY, LLP
Accounting and audit · EIN 56-2552172
$24,688
paid directly by the plan
US BANK, N.A.
Custodian · EIN 31-0841368
$20,284
paid directly by the plan
GARCIA HAMILTON & ASSOCIATES
Named on Schedule C · EIN 76-0589652
$16,099
paid directly by the plan
PENSION EVALUATION, INC.
Named on Schedule C · EIN 11-2503982
$10,000
paid directly by the plan
WEALTH ENHACEMENT GROUP
Named on Schedule C · EIN 75-3100788
$9,257
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$32,448,760
Paid out in benefits
$46,078,780
Paid to insurance carriersSchedule H, line 2e(2)
$30,957,460
Independent accountantEIN 56-2552172
INEICH & COMPANY, LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$24,688

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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