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Form 5500 · Employee benefit plan · SANTA ROSA, CA

SANTA ROSA COMMUNITY HEALTH CENTERS

Public Form 5500 records show how SANTA ROSA COMMUNITY HEALTH CENTERS (SANTA ROSA, CA) structures its employee benefits. Its broker of record is RELATION INS SVCS OF CALIFORNIA. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 68-0365296 · plan 501 · as of Jul 2026

Participants
514
Carriers on file
5
Disclosed commissions
$245,819
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
KAISER FOUNDATION HEALTH PLAN, INC.Health576December$139,501
WESTERN HEALTH ADVANTAGEHealth225December$67,854
UNITED OF OMAHA LIFE INSURANCE COMPANYLife, Disability492December$35,368
VISION SERVICE PLANVision357December$2,196
CALIFORNIA DENTAL NETWORK, INC.Dental40December$900

Questions

Who is SANTA ROSA COMMUNITY HEALTH CENTERS's benefits broker?

Per its most recent Form 5500 Schedule A, SANTA ROSA COMMUNITY HEALTH CENTERS's broker of record is RELATION INS SVCS OF CALIFORNIA.

What insurance carrier does SANTA ROSA COMMUNITY HEALTH CENTERS use?

SANTA ROSA COMMUNITY HEALTH CENTERS's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 5 disclosed carriers.

When does SANTA ROSA COMMUNITY HEALTH CENTERS's group plan renew?

The most recent Schedule A policy period for SANTA ROSA COMMUNITY HEALTH CENTERS ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from SANTA ROSA COMMUNITY HEALTH CENTERS's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.