Form 5500 · Employee benefit plan · PASADENA, CA
TETRA TECH, INC.
The filing calls this plan TETRA TECH, INC. FULLY INSURED HMO BENEFIT PLAN.
TETRA TECH, INC. of PASADENA, CA insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Its broker of record is AON INSURANCE AGENCY LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 16 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-4148514 · plan 507 · plan year 2023, filed Oct 5, 2024
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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
Health: the largest of the 19 insured health contracts, with KAISER FOUNDATION HEALTH PLAN, INC., covers 400 of 5,233 participants (7.6%) on Schedule A.
Dental: the largest of the 8 insured dental contracts, with AETNA LIFE INSURANCE COMPANY, covers 227 of 5,233 participants (4.3%) on Schedule A.
Vision: the largest of the 2 insured vision contracts, with AETNA LIFE INSURANCE COMPANY, covers 227 of 5,233 participants (4.3%) on Schedule A.
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 24 insured contracts covering health, dental and vision.
The filing declares health, dental and life. Life appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $16,704,114, with $397,871 in disclosed broker commissions — about 2.4% 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.
AON INSURANCE AGENCY LLC is the broker of record on 16 of the 24 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF CALIFORNIA | Dental | 3,950 | Jan 1, 2024 | $1,528,416 | $61,137 |
| AETNA LIFE INSURANCE COMPANY | Dental | 3,699 | Jan 1, 2024 | $1,347,182 | $61,111 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 400 | Jan 1, 2024 | $2,254,290 | $42,837 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Dental | 917 | Jan 1, 2024 | $827,278 | $32,607 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 170 | Jan 1, 2024 | $1,126,041 | $29,170 |
| PRIORITY HEALTH INSURANCE COMPANY | Health | 241 | Jan 1, 2024 | $1,376,724 | $27,535 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | Health | 262 | Jan 1, 2024 | $1,338,260 | $27,307 |
| TRIPLE S SALUD, INC. | Health, Dental | 79 | Jan 1, 2024 | $434,499 | $21,725 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental | 531 | Jan 1, 2024 | $468,233 | $20,905 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 834 | Jan 1, 2024 | $376,749 | $19,492 |
| KAISER FOUNDATION HEALTH PLAN OF COLORADO | Health | 134 | Jan 1, 2024 | $772,343 | $15,424 |
| UPMC HEALTH OPTIONS | Health | 82 | Jan 1, 2024 | $531,810 | $9,781 |
| UPMC HEALTH OPTIONS | Health | 85 | Jan 1, 2024 | $461,397 | $8,591 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 66 | Jan 1, 2024 | $367,490 | $7,563 |
| MEDICAL MUTUAL | Health | 20 | Jan 1, 2024 | $225,427 | $4,463 |
| UPMC HEALTH OPTIONS | Health | 52 | Jan 1, 2024 | $199,738 | $4,215 |
| KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. | Health | 37 | Jan 1, 2024 | $188,580 | $3,813 |
| UPMC HEALTH OPTIONS | Health | 2 | Jan 1, 2024 | $8,558 | $147 |
| UPMC HEALTH OPTIONS | Health | 0 | Jan 1, 2024 | — | $28 |
| UPMC HEALTH OPTIONS | Health | 0 | Jan 1, 2024 | — | $20 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 227 | Jan 1, 2024 | $1,624,136 | $0 |
| AETNA INTERNATIONAL | Health, Dental, Vision | 180 | Jan 1, 2024 | $948,453 | $0 |
| HEALTH NET | Health | 11 | Jan 1, 2024 | $166,273 | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) | Health | 34 | Jan 1, 2024 | $132,237 | $0 |
Premium and claims on this contract
MEDICAL MUTUAL, contract 0122902-01. For the contract year on this filing, the carrier reported $225,427 in premium earned and $136,678 in claims incurred. Dividing one by the other gives 61%.
- MEDICAL MUTUAL, contract 0122902-01 reported $28,554 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
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