Form 5500 · Employee benefit plan · SACRAMENTO, CA
SANSUM CLINIC
SANSUM CLINIC of SACRAMENTO, CA is a 1,060-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is VARIOUS - SEE ATTACHED. Coverage is written through AFLAC and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-6419205 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 4 insured contracts covering health, dental, life and disability; the largest, with AFLAC, covers 143 people.
Reported premium across the insured contracts is $341,697, with $43,236 in disclosed broker commissions — about 13% of premium.
The health contract's policy period ended in December, while at least one ancillary line renews in April — the plan is on a split renewal cycle.
VARIOUS - SEE ATTACHED is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing — AFLAC, ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY, COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and HARTFORD LIFE AND ACCIDENT — with AFLAC writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AFLAC | Disability | 143 | December | $160,033 | $21,614 |
| ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | Dental | 869 | April | $108,454 | $19,175 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | Health, Life | 66 | December | $40,236 | $2,447 |
| HARTFORD LIFE AND ACCIDENT | — | 4 | December | $32,974 | $0 |
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