Form 5500 · Employee benefit plan · HAYWARD, CA
WESTERN STATE DESIGN, INC.
WESTERN STATE DESIGN, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is HUB INTERNATIONAL OF CA INS SVCS. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 4 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-3796471 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 124 | November | $50,166 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental, Life, Disability | 117 | December | $10,982 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 5 | December | $1,137 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 5 | December | $1,121 |
| VISION SERVICE PLAN | Vision | 80 | December | $589 |
Questions
Who is WESTERN STATE DESIGN, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, WESTERN STATE DESIGN, INC.'s broker of record is HUB INTERNATIONAL OF CA INS SVCS.
What insurance carrier does WESTERN STATE DESIGN, INC. use?
WESTERN STATE DESIGN, INC.'s benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 5 disclosed carriers.
When does WESTERN STATE DESIGN, INC.'s group plan renew?
The most recent Schedule A policy period for WESTERN STATE DESIGN, INC. ended in November. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from WESTERN STATE DESIGN, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.