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Form 5500 · Employee benefit plan · LOS ANGELES, CA

UNIVERSITY OF SOUTHERN CALIFORNIA

The filing calls this plan UNIVERSITY OF SOUTHERN CALIFORNIA INSURED GROUP PLAN.

UNIVERSITY OF SOUTHERN CALIFORNIA of LOS ANGELES, CA is a 23,634-participant education employer — a large group whose insured benefits are disclosed on Schedule A of its Form 5500. Its broker of record is COTTINGHAM & BUTLER INSURANCE SERVI. Coverage is written through BLUE CROSS OF CALIFORNIA and 7 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Insurance carrier
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-1642394 · plan 521 · plan year 2024, filed Oct 13, 2025

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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.

All participants at the start of the year
23,634
Active at start of year
23,594
Active at end of year
23,927
Disclosed commissions
$1,646,383
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUE CROSS OF CALIFORNIA4,152 of 23,634 participants (18%) on the largest contract
Dentalinsured — UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC.1,327 of 23,634 participants (5.6%)
Visiondeclared, no contract here says it covers this
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY30,602 of 23,634 participants on the largest contract
Disabilitydeclared under plan 528

Dental: UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. covers 1,327 of 23,634 participants (5.6%) on Schedule A.

3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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 11 insured contracts covering health, dental and life.

The filing declares health, dental, life and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.

Reported premium across the insured contracts is $114,000,685, with $1,646,383 in disclosed broker commissions — about 1.4% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in August. The plan is on a split renewal cycle.

COTTINGHAM & BUTLER INSURANCE SERVI is the broker of record on 6 of the 11 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYLife30,602Jan 1, 2025$6,538,970$570,452
METROPOLITAN LIFE INSURANCE COMPANYHealth9,802Jan 1, 2025$2,890,942$567,541
METROPOLITAN LIFE INSURANCE COMPANYHealth12,283Jan 1, 2025$1,275,942$250,185
METROPOLITAN LIFE INSURANCE COMPANYHealth5,546Jan 1, 2025$1,214,752$238,870
ACE AMERICAN INSURANCE COMPANYLife41,487Jan 1, 2025$19,335$19,335
BLUE CROSS OF CALIFORNIAHealth4,152Jan 1, 2025$52,706,474$0
KAISER FOUNDATION HEALTH PLAN, INC.Health5,712Jan 1, 2025$46,165,408$0
JOHN HANCOCK LIFE INSURANCE COMPANY—773Jan 1, 2025$1,846,934$0
METLIFE LEGAL PLANS—5,316Sep 1, 2024$670,184$0
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC.Dental1,327Jan 1, 2025$338,913$0
METROPOLITAN GENERAL INSURANCE COMPANY—5,285Jan 1, 2025$332,831$0

Premium and claims on this contract

UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC., contract 740385. For the contract year on this filing, the carrier reported $338,913 in premium earned and $114,975 in claims incurred. Dividing one by the other gives 34%.

  • UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC., contract 740385 reported $118,179 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.

See the filing at the Department of Labor

Reported to OSHA

Reported to OSHA for 2025: 1,805 employees, 72 recordable cases, 972 days away from work.

EmployeesThe company's own average for the year
1,805
Hours worked
3,120,856
Recordable cases
72
Days away from work
972
Establishments filed under this EIN
4

Source: OSHA Injury Tracking Application establishment data, 2025.

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