# LIGHTSPEED MANAGEMENT COMPANY HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **LIGHTSPEED MANAGEMENT COMPANY, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | LIGHTSPEED MANAGEMENT COMPANY, LLC |
| EIN | 203809490 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | MENLO PARK, CA |
| Industry | Finance and Insurance |
| Funding | fully insured |
| Total premiums | $4.5M |
| Participants | 158 |
| Persons covered | 560 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ANTHEM LIFE INSURANCE COMPANY | Health, PPO |
| KAISER PERMANENTE | Health, HMO |
| METLIFE LEGAL PLANS | Dental |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, Other, STD, LTD |
| ZURICH AMERICAN INSURANCE COMPANY | Other |
| VISION SERVICE PLAN (VSP) | Vision |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| RSC INSURANCE BROKERAGE INC | BLUE CROSS OF CALIFORNIA |
| BEERE & PURVES INC | BLUE CROSS OF CALIFORNIA |
| KRAUTER & COMPANY, LLC | BLUE CROSS OF CALIFORNIA |
| RSC INSURANCE BROKERAGE INC | KAISER FOUNDATION HEALTH PLAN, INC. |
| BEERE & PURVES INC | KAISER FOUNDATION HEALTH PLAN, INC. |
| SELMAN & COMPANY, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| RSC INSURANCE BROKERAGE INC | METROPOLITAN LIFE INSURANCE COMPANY |
| ASSUREDPARTNERS | METROPOLITAN LIFE INSURANCE COMPANY |
| RSC INSURANCE BROKERAGE INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| WARNER PACIFIC INSURANCE SERVICES | ZURICH AMERICAN INSURANCE COMPANY |
| RISK STRATEGIES COMPANY | ZURICH AMERICAN INSURANCE COMPANY |
| RSC INSURANCE BROKERAGE INC | VISION SERVICE PLAN |
| RSC INSURANCE BROKERAGE INC | UNUM LIFE INSURANCE COMPANY OF AMERICA |

## 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/203809490-501
- Cite as: PlanOptica, https://planoptica.com/welfare/203809490-501
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