Form 5500 · Employee benefit plan · SAN FRANCISCO, CA
THE OLYMPIC CLUB
THE OLYMPIC CLUB of SAN FRANCISCO, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is FILICE INSURANCE SERVICES 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 94-0732930 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 97 | December | $25,106 |
| SUTTER HEALTH PLAN | Health | 52 | December | $13,832 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 123 | December | $5,265 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 120 | December | $3,862 |
| VISION SERVICE PLAN | Vision | 102 | December | $1,902 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 21 | December | $824 |
| CONCERN | — | 115 | December | $332 |
Questions
Who is THE OLYMPIC CLUB's benefits broker?
Per its most recent Form 5500 Schedule A, THE OLYMPIC CLUB's broker of record is FILICE INSURANCE SERVICES LLC.
What insurance carrier does THE OLYMPIC CLUB use?
THE OLYMPIC CLUB's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 7 disclosed carriers.
When does THE OLYMPIC CLUB's group plan renew?
The most recent Schedule A policy period for THE OLYMPIC CLUB ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from THE OLYMPIC CLUB's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.