Form 5500 · Employee benefit plan · MENLO PARK, CA
WOODSIDE HOSPITALITY GROUP LTD
The filing calls this plan WOODSIDE HOSPITALITY GROUP LTD WELFARE BENEFIT PLAN.
Public Form 5500 records show how WOODSIDE HOSPITALITY GROUP LTD of MENLO PARK, CA, a hospitality and food service employer, structures its employee benefits. Its broker of record is JOHNSON & DUGAN INSURANCE SERVICES. Coverage is written through KAISER PERMANENTE and 5 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-2869427 · plan 501 · plan year 2026, filed Aug 20, 2026
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229 other employer plans in California have policy years ending in February. 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.
Benefits declared on this filing
Also declared: other welfare.
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 7 insured contracts covering health, dental, vision and life; the largest, with KAISER PERMANENTE, covers 190 people.
Reported premium across the insured contracts is $4,966,398, with $93,875 in disclosed broker commissions — about 1.9% of premium.
The health contract's policy period ended in February, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.
JOHNSON & DUGAN INSURANCE SERVICES is the broker of record on 4 of the 7 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including KAISER PERMANENTE, CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA), UNITEDHEALTHCARE INSURANCE COMPANY and DELTA DENTAL OF CALIFORNIA. KAISER PERMANENTE writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | Health, Life | 131 | Mar 1, 2026 | $2,118,114 | $65,865 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 21 | Mar 1, 2026 | $266,535 | $13,327 |
| DELTA DENTAL OF CALIFORNIA | Dental | 297 | Mar 1, 2026 | $263,077 | $13,182 |
| VISION SERVICE PLAN | Vision | 225 | Mar 1, 2026 | $32,743 | $1,501 |
| KAISER PERMANENTE | Health | 190 | Mar 1, 2026 | $2,279,036 | $0 |
| ACI ENTERPRISES, INC. | — | 373 | Jan 1, 2026 | $5,908 | $0 |
| ACI ENTERPRISES, INC. | — | 373 | Mar 1, 2026 | $985 | $0 |
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
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