Form 5500 · Employee benefit plan · PALO ALTO, CA
TESLA, INC.
The filing calls this plan TESLA, INC. HEALTH AND WELFARE PLAN.
TESLA, INC. of PALO ALTO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BSC AGENCY, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 9 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-2197729 · plan 501 · plan year 2025, filed Jul 29, 2026
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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.
Benefits declared on this filing
Dental: AETNA LIFE INSURANCE COMPANY covers 8 of 73,107 participants (under 0.1%) on Schedule A.
Also declared: prepaid legal, 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 13 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 31,418 people.
Reported premium across the insured contracts is $298,633,367, with $4,469,083 in disclosed broker commissions — about 1.5% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
BSC AGENCY, LLC is the broker of record on 2 of the 13 contracts; the rest name a different broker or none.
10 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., PRUDENTIAL INSURANCE COMPANY OF AMERICA, AETNA LIFE INSURANCE COMPANY and LIFE INSURANCE COMPANY OF NORTH AMERICA. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | Health | 77,307 | Jan 1, 2026 | $14,570,658 | $2,514,112 |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life | 75,282 | Jan 1, 2026 | $20,416,146 | $1,152,758 |
| ARAG INSURANCE COMPANY | — | 34,104 | Jan 1, 2026 | $4,196,104 | $419,610 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 69,968 | Jan 1, 2026 | $11,648,271 | $196,094 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 31,418 | Jan 1, 2026 | $212,565,402 | $169,742 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 3,456 | Jan 1, 2026 | $23,539,478 | $9,645 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 8 | Jan 1, 2026 | $65,545 | $6,205 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 34 | Jan 1, 2026 | $221,662 | $917 |
| VISION SERVICE PLAN | Vision | 65,003 | Jan 1, 2026 | $9,546,099 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 160 | Jan 1, 2026 | $677,177 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | Health | 66 | Jan 1, 2026 | $451,834 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 60 | Jan 1, 2026 | $429,316 | $0 |
| TRIPLE S SALUD, INC. | Health | 38 | Jan 1, 2026 | $305,675 | $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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 36,540 employees, 2,732 recordable cases, 52,133 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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