Form 5500 · Employee benefit plan · EAST PALO ALTO, CA
SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA
SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA of EAST PALO ALTO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is LEAVITT PACIFIC INSURANCE BROKERS. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-3372130 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 368 | December | $189,832 |
| DELTA DENTAL OF CALIFORNIA | Dental | 369 | December | $19,867 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 357 | December | $7,673 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 190 | December | $6,475 |
| DELTA DENTAL OF CALIFORNIA | Dental | 107 | December | $2,606 |
| VISION SERVICE PLAN | Vision | 270 | December | $2,194 |
| UNUM INSURANCE COMPANY | — | 100 | December | $1,935 |
| CONCERN | — | 356 | December | $0 |
Questions
Who is SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA's benefits broker?
Per its most recent Form 5500 Schedule A, SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA's broker of record is LEAVITT PACIFIC INSURANCE BROKERS.
What insurance carrier does SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA use?
SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 8 disclosed carriers.
When does SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA's group plan renew?
The most recent Schedule A policy period for SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. DBA's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.