Form 5500 · Employee benefit plan · MARTINEZ, CA
VISTABILITY
The filing calls this plan VISTABILITY HEALTH AND WELFARE BENEFITS PLAN.
Public Form 5500 records show how VISTABILITY of MARTINEZ, CA, a health care and social assistance employer, structures its employee benefits. Its broker of record is HEFFERNAN INSURANCE BROKERS. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-1606517 · plan 511 · plan year 2025, filed Aug 4, 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
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN, INC., covers 142 people.
Reported premium across the insured contracts is $2,514,505, with $162,133 in disclosed broker commissions — about 6.4% 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.
HEFFERNAN INSURANCE BROKERS is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN, INC., UNUM LIFE INSURANCE COMPANY OF AMERICA, SUTTER HEALTH PLAN and METROPOLITAN LIFE INSURANCE COMPANY. KAISER FOUNDATION HEALTH PLAN, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 2,054 | Jan 1, 2026 | $449,114 | $68,032 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 142 | Jan 1, 2026 | $1,509,762 | $57,319 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 339 | Jan 1, 2026 | $148,437 | $14,738 |
| SUTTER HEALTH PLAN | Health | 38 | Jan 1, 2026 | $365,612 | $14,624 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 257 | Jan 1, 2026 | $28,117 | $3,864 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 137 | Jan 1, 2026 | $13,463 | $3,556 |
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: 453 employees, 3 recordable cases, 3 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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