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Form 5500 · Employee benefit plan · PALO ALTO, CA

STANGENES INDUSTRIES INC.

The filing calls this plan STANGENES INDUSTRIES INC. EMPLOYEE BENEFIT PLAN.

STANGENES INDUSTRIES INC. of PALO ALTO, CA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is ACRISURE OF CALIFORNIA LLC. Coverage is written through BLUE SHIELD OF CALIFORNIA and 2 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Insurance carrier
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2247016 · plan 501 · plan year 2025, filed Feb 8, 2026

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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
92
Active at start of year
92
Active at end of year
90
Disclosed commissions
$18,736
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — BLUE SHIELD OF CALIFORNIA132 of 92 participants on the largest contract
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA90 of 92 participants (98%)
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA90 of 92 participants (98%)
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA90 of 92 participants (98%)
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA90 of 92 participants (98%)

Also declared: death benefits.

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 3 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE SHIELD OF CALIFORNIA, covers 132 people.

Reported premium across the insured contracts is $1,994,204, with $18,736 in disclosed broker commissions — about 0.9% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

ACRISURE OF CALIFORNIA LLC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including BLUE SHIELD OF CALIFORNIA, KAISER FOUNDATION HEALTH PLAN, INC. and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. BLUE SHIELD OF CALIFORNIA writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability90Jul 1, 2025$77,733$14,501
KAISER FOUNDATION HEALTH PLAN, INC.Health5Jul 1, 2025$93,106$4,235
BLUE SHIELD OF CALIFORNIAHealth132Jul 1, 2025$1,823,365$0

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
STANGENES INDUSTRIES INC.
EIN 94-2247016

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

Other plans filed by this employer

How this plan compares

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