Form 5500 · Employee benefit plan · OAKLAND, CA
WORKS WELL INDUSTRIES
The filing calls this plan WORKS WELL INDUSTRIES WELFARE BENEFIT PLAN.
WORKS WELL INDUSTRIES of OAKLAND, CA spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is DIGITAL INSURANCE INC.. Coverage is written through CALIFORNIACHOICE and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-2033551 · plan 501 · plan year 2025, filed Jul 28, 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: 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.
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 3 insured contracts covering health, dental, vision and life; the largest, with CALIFORNIACHOICE, covers 92 people.
Reported premium across the insured contracts is $906,671, with $53,874 in disclosed broker commissions — about 5.9% 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.
DIGITAL INSURANCE INC. is the broker of record on all 3 contracts.
3 carriers appear on the filing, including CALIFORNIACHOICE, CHOICEBUILDER and SUN LIFE ASSURANCE COMPANY OF CANADA. CALIFORNIACHOICE writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CALIFORNIACHOICE | Health | 92 | Jan 1, 2026 | $843,256 | $42,163 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Life | 143 | Jan 1, 2026 | $7,357 | $6,104 |
| CHOICEBUILDER | Dental, Vision | 112 | Jan 1, 2026 | $56,058 | $5,607 |
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.
How this plan compares
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