Form 5500 · Employee benefit plan · VENTURA, CA
VENTURA COUNTY RESTAURANT SERVICES, INC.
The filing calls this plan VENTURA COUNTY RESTAURANT SERVICES, INC. WELFARE BENEFITS PLAN.
VENTURA COUNTY RESTAURANT SERVICES, INC. of VENTURA, CA is a 129-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is RSC INSURANCE BROKERAGE INC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-4719268 · plan 501 · plan year 2025, filed Mar 16, 2026
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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
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.
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 2 insured contracts covering health and dental; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 104 people.
Reported premium across the insured contracts is $514,546, with $29,044 in disclosed broker commissions — about 5.6% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
RSC INSURANCE BROKERAGE INC is the broker of record on all 2 contracts.
Two carriers split the book: KAISER FOUNDATION HEALTH PLAN, INC. and AMERITAS LIFE INSURANCE CORP..
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 104 | Jul 1, 2025 | $489,221 | $26,511 |
| AMERITAS LIFE INSURANCE CORP. | Dental | 129 | Jul 1, 2025 | $25,325 | $2,533 |
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.
Other plans filed by this employer
How this plan compares
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