Form 5500 · Employee benefit plan · SAN RAMON, CA
SURPLUS LINE ASSOCIATION OF CALIFORNIA
SURPLUS LINE ASSOCIATION OF CALIFORNIA of SAN RAMON, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is SEQUOIA BENEFITS & INS SVCS LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC. and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-0912095 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC. | Health | 103 | December | $41,928 |
| STANDARD INSURANCE COMPANY | Dental | 171 | December | $17,390 |
| STANDARD INSURANCE COMPANY | Life | 178 | December | $12,893 |
| STANDARD INSURANCE COMPANY | Disability | 177 | December | $6,868 |
| STANDARD INSURANCE COMPANY | — | 177 | December | $3,995 |
| STANDARD INSURANCE COMPANY | Vision | 339 | December | $2,584 |
| CALIFORNIA PHYSICIANS' SERVICE | Health | 140 | December | $0 |
Questions
Who is SURPLUS LINE ASSOCIATION OF CALIFORNIA's benefits broker?
Per its most recent Form 5500 Schedule A, SURPLUS LINE ASSOCIATION OF CALIFORNIA's broker of record is SEQUOIA BENEFITS & INS SVCS LLC.
What insurance carrier does SURPLUS LINE ASSOCIATION OF CALIFORNIA use?
SURPLUS LINE ASSOCIATION OF CALIFORNIA's benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC., among 7 disclosed carriers.
When does SURPLUS LINE ASSOCIATION OF CALIFORNIA's group plan renew?
The most recent Schedule A policy period for SURPLUS LINE ASSOCIATION OF CALIFORNIA ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from SURPLUS LINE ASSOCIATION OF CALIFORNIA's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.