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Form 5500 · Employee benefit plan · GRASS VALLEY, CA

WESTERN SIERRA MEDICAL CLINIC, INC.

WESTERN SIERRA MEDICAL CLINIC, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is INTERWEST INSURANCE SERVICES, LLC. Coverage is written through THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2279011 · plan 503 · as of Jul 2026

Participants
106
Carriers on file
5
Disclosed commissions
$27,296
Renewal month
June

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife, Disability165June$11,696
KAISER FOUNDATION HEALTH PLAN, INC.Health16June$9,844
HUMANA INSURANCE COMPANYDental154June$3,649
VISION SERVICE PLANVision154June$2,107
CALIFORNIA PHYSICIANS SERVICEHealth155June$0

Questions

Who is WESTERN SIERRA MEDICAL CLINIC, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, WESTERN SIERRA MEDICAL CLINIC, INC.'s broker of record is INTERWEST INSURANCE SERVICES, LLC.

What insurance carrier does WESTERN SIERRA MEDICAL CLINIC, INC. use?

WESTERN SIERRA MEDICAL CLINIC, INC.'s benefit plan is written through THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, among 5 disclosed carriers.

When does WESTERN SIERRA MEDICAL CLINIC, INC.'s group plan renew?

The most recent Schedule A policy period for WESTERN SIERRA MEDICAL CLINIC, INC. ended in June. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from WESTERN SIERRA MEDICAL CLINIC, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.