# NORTH STAR EMERGENCY SERVICES INC WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **NORTH STAR EMERGENCY SERVICES, INC. DBA NORCAL AMBULANCE**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | NORTH STAR EMERGENCY SERVICES, INC. DBA NORCAL AMBULANCE |
| EIN | 201783317 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LIVERMORE, CA |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $2.7M |
| Participants | 999 |
| Persons covered | 997 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| SUTTER HEALTH PLAN | Health, Rx, HMO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Life, Other |
| AMERITAS LIFE INSURANCE CORP. | Vision |
| CLAREMONT EAP | Other |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MARSH & MCLENNAN AGENCY LLC | KAISER FOUNDATION HEALTH PLAN, INC |
| MCGRIFF INSURANCE SERVICES INC | SUTTER HEALTH PLAN |
| MARSH & MCLENNAN AGENCY LLC | GUARDIAN |
| MARSH & MCLENNAN AGENCY LLC | AMERITAS LIFE INSURANCE CORP. |
| MCGRIFF INSURANCE SERVICES INC | AMERITAS LIFE INSURANCE CORP. |
| THE AGURS GROUP INC. | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| MCGRIFF INSURANCE SERVICES INC | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |
| TANYA WEST MACKEY | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/201783317-501
- Cite as: PlanOptica, https://planoptica.com/welfare/201783317-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers