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Form 5500 · Employee benefit plan · OAKLAND, CA

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

The filing calls this plan SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP HEALTH AND WELFARE PLAN.

Public Form 5500 records show how SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP of OAKLAND, CA, a health care and social assistance employer, structures its employee benefits. Its broker of record is THE PARTNERS GROUP. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 17 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1750445 · plan 560 · plan year 2024, filed Oct 10, 2025

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5,257 other employer plans in California have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
57,052
Active at start of year
51,501
Active at end of year
54,132
Disclosed commissions
$3,841,304
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — KAISER FOUNDATION HEALTH PLAN, INC.104,373 of 57,052 participants on the largest contract
Dentalinsured — DELTA DENTAL OF CALIFORNIA52,399 of 57,052 participants (92%) on the largest contract
Visiondeclared, no contract here says it covers this
Lifeinsured — STANDARD INSURANCE COMPANY9,627 of 57,052 participants (17%) on the largest contract
Disabilityinsured — STANDARD INSURANCE COMPANY7,486 of 57,052 participants (13%) on the largest contract

10 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

Also declared: prepaid legal, severance, death benefits, other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 36 insured contracts covering health, dental, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 104,373 people.

The filing declares health, dental, life, disability and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 10 contracts here that do not say what they cover.

Reported premium across the insured contracts is $1,301,723,185, with $3,841,304 in disclosed broker commissions — about 0.3% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in May. The plan is on a split renewal cycle.

THE PARTNERS GROUP is the broker of record on 6 of the 36 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
STANDARD INSURANCE COMPANYDisability7,486Jan 1, 2025$29,504,116$1,168,274
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYDisability1,901Jan 1, 2025$5,706,497$714,665
STANDARD INSURANCE COMPANYLife9,627Jan 1, 2025$15,289,963$594,347
CONTINENTAL AMERICAN INSURANCE COMPANY—3,365Jun 1, 2024$979,642$340,912
METROPOLITAN LIFE INSURANCE COMPANYLife8,098Jul 1, 2024$2,035,290$200,574
TRANSAMERICA LIFE INSURANCE COMPANY—732Jan 1, 2025$1,311,667$159,116
STANDARD INSURANCE COMPANYDisability1,690Jan 1, 2025$3,553,205$137,530
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYDisability311Jan 1, 2025$1,153,699$133,536
GENWORTH LIFE INSURANCE COMPANY—709Jan 1, 2025$1,175,748$118,335
TRANSAMERICA LIFE INSURANCE COMPANY—588Jan 1, 2025—$112,800
TRANSAMERICA LIFE INSURANCE COMPANY—338Jan 1, 2025$536,561$78,279
METLIFE LEGAL PLANS—3,103Jun 1, 2024$787,035$67,155
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYDisability21Jan 1, 2025$61,765$8,068
NEW YORK LIFE INSURANCE COMPANY—498Jan 1, 2025$201,265$7,713
KAISER FOUNDATION HEALTH PLAN, INC.Health104,373Jan 1, 2025$796,969,354$0
KAISER FOUNDATION HEALTH PLAN, INC.Health34,894Jan 1, 2025$271,456,066$0
KAISER FOUNDATION HEALTH PLAN, INC.Health15,820Jan 1, 2025$116,015,758$0
METROPOLITAN LIFE INSURANCE COMPANYDisability92,804Jan 1, 2025$20,371,865$0
DELTA DENTAL OF CALIFORNIADental52,399Jan 1, 2025$17,591,507$0
METROPOLITAN LIFE INSURANCE COMPANYLife42,409Jan 1, 2025$5,691,117$0
METROPOLITAN LIFE INSURANCE COMPANYLife25,837Jan 1, 2025$5,188,078$0
DELTA DENTAL OF CALIFORNIADental25,973Jan 1, 2025$5,150,014$0
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC.Dental1,277Jan 1, 2025$222,925$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth23Jan 1, 2025$159,588$0
CURALINC, LLC, D.B.A. CURALINC HEAL—8,505Jan 1, 2025$134,655$0
SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATIONHealth, Dental285Jan 1, 2025$115,826$0
ACENTRA HEALTH—53,815Jan 1, 2025$103,325$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth11Jan 1, 2025$80,878$0
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.Health6Jan 1, 2025$48,918$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth6Jan 1, 2025$35,277$0
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.Health4Jan 1, 2025$29,288$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth3Jan 1, 2025$16,652$0
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.Health3Jan 1, 2025$15,703$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth3Jan 1, 2025$13,972$0
KAISER FOUNDATION HEALTH PLAN, INC.Health2Jan 1, 2025$10,050$0
METROPOLITAN LIFE INSURANCE COMPANY—17,343Jan 1, 2025$5,916$0

Premium and claims on these contracts

STANDARD INSURANCE COMPANY, contract 758184 LTD. For the contract year on this filing, the carrier reported $29,504,116 in premium earned and $35,335,404 in claims incurred. Dividing one by the other gives 120%.

STANDARD INSURANCE COMPANY, contract 758184. For the contract year on this filing, the carrier reported $15,289,963 in premium earned and $10,886,558 in claims incurred. Dividing one by the other gives 71%.

STANDARD INSURANCE COMPANY, contract 758184 STD. For the contract year on this filing, the carrier reported $3,553,205 in premium earned and $2,947,556 in claims incurred. Dividing one by the other gives 83%.

DELTA DENTAL OF CALIFORNIA, contract 5454. For the contract year on this filing, the carrier reported $17,591,507 in premium earned and $22,263,046 in claims incurred. Dividing one by the other gives 127%.

METROPOLITAN LIFE INSURANCE COMPANY, contract 140310. For the contract year on this filing, the carrier reported $5,691,117 in premium earned and $4,631,364 in claims incurred. Dividing one by the other gives 81%.

METROPOLITAN LIFE INSURANCE COMPANY, contract 140410. For the contract year on this filing, the carrier reported $5,188,078 in premium earned and $3,906,501 in claims incurred. Dividing one by the other gives 75%.

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC., contract 740152. For the contract year on this filing, the carrier reported $222,925 in premium earned and $73,153 in claims incurred. Dividing one by the other gives 33%.

  • STANDARD INSURANCE COMPANY, contract 758184 LTD reported $5,871,319 in retention.
  • STANDARD INSURANCE COMPANY, contract 758184 reported $4,403,405 in retention.
  • STANDARD INSURANCE COMPANY, contract 758184 STD reported $835,003 in retention.
  • DELTA DENTAL OF CALIFORNIA, contract 5454 reported $1,494,545 in retention.
  • METROPOLITAN LIFE INSURANCE COMPANY, contract 140310 reported $1,059,753 in retention.
  • METROPOLITAN LIFE INSURANCE COMPANY, contract 140410 reported $1,281,577 in retention.
  • UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC., contract 740152 reported $31,544 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
KAISER FOUNDATION HEALTH PLAN, INC.
EIN 94-1340523

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 18,645 employees, 738 recordable cases, 18,658 days away from work.

EmployeesThe company's own average for the year
18,645
Hours worked
28,721,454
Recordable cases
738
Days away from work
18,658
Establishments filed under this EIN
19

Source: OSHA Injury Tracking Application establishment data, 2025.

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