Form 5500 · Employee benefit plan · SANTA CLARA, CA
SI-BONE, INC.
Public Form 5500 records show how SI-BONE, INC. (SANTA CLARA, CA) structures its employee benefits. Its broker of record is KISTLER TIFFANY BENEFITS AGENCY. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-2216351 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 50 | December | $17,276 |
| VISION SERVICE PLAN | Vision | 276 | December | $1,924 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 328 | December | $1,569 |
| UNUM INSURANCE COMPANY | — | 29 | December | $0 |
Questions
Who is SI-BONE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, SI-BONE, INC.'s broker of record is KISTLER TIFFANY BENEFITS AGENCY.
What insurance carrier does SI-BONE, INC. use?
SI-BONE, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 4 disclosed carriers.
When does SI-BONE, INC.'s group plan renew?
The most recent Schedule A policy period for SI-BONE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SI-BONE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.