Form 5500 · Employee benefit plan · COSTA MESA, CA
SPECIALTY RESTAURANTS CORPORATION
SPECIALTY RESTAURANTS CORPORATION of COSTA MESA, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PETRA PACIFIC INSURANCE SERVICE, IN. Coverage is written through AETNA LIFE INSURANCE CO. and 8 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-2547743 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AETNA LIFE INSURANCE CO. | Health | 200 | June | $98,056 |
| RELIASTAR LIFE INSURANCE COMPANY | Life, Disability | 1,641 | June | $41,818 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 123 | June | $38,391 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Dental | 204 | June | $10,623 |
| CONTINENTAL AMERICAN INSURANCE COMPANY | — | 83 | June | $3,581 |
| CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | Dental | 26 | June | $440 |
| CIGNA DENTAL HEALTH OF FLORIDA, INC. | Dental | 19 | June | $317 |
| CIGNA DENTAL HEALTH OF OHIO, INC. | Dental | 1 | June | $17 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Vision | 136 | June | $0 |
Questions
Who is SPECIALTY RESTAURANTS CORPORATION's benefits broker?
Per its most recent Form 5500 Schedule A, SPECIALTY RESTAURANTS CORPORATION's broker of record is PETRA PACIFIC INSURANCE SERVICE, IN.
What insurance carrier does SPECIALTY RESTAURANTS CORPORATION use?
SPECIALTY RESTAURANTS CORPORATION's benefit plan is written through AETNA LIFE INSURANCE CO., among 9 disclosed carriers.
When does SPECIALTY RESTAURANTS CORPORATION's group plan renew?
The most recent Schedule A policy period for SPECIALTY RESTAURANTS CORPORATION ended in June. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SPECIALTY RESTAURANTS CORPORATION's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.