Form 5500 · Employee benefit plan · SAN JOSE, CA
SHUTTERFLY, LLC
SHUTTERFLY, LLC of SAN JOSE, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through HAWAII MEDICAL ASSURANCE ASSOCIATION and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-3330068 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| HAWAII MEDICAL ASSURANCE ASSOCIATION | Health | 12 | December | $2,376 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 5,526 | December | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 352 | December | $0 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 118 | December | $0 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental | 426 | December | $0 |
| UNITED BEHAVIORAL HEALTH DBA OPTUM | — | 10,355 | December | $0 |
| VISION SERVICE PLAN | Vision | 1,192 | December | $0 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Vision | 2,055 | December | $0 |
Questions
Who is SHUTTERFLY, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, SHUTTERFLY, LLC's broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does SHUTTERFLY, LLC use?
SHUTTERFLY, LLC's benefit plan is written through HAWAII MEDICAL ASSURANCE ASSOCIATION, among 8 disclosed carriers.
When does SHUTTERFLY, LLC's group plan renew?
The most recent Schedule A policy period for SHUTTERFLY, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SHUTTERFLY, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.