# ROKU, INC. WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **ROKU, INC.**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ROKU, INC. |
| EIN | 262087865 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN JOSE, CA |
| Industry | computer software |
| Funding | fully insured |
| Total premiums | $9.5M |
| Participants | 2,497 |
| Persons covered | 3,439 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, STD, LTD, Other |
| MODERN HEALTH ARIZONA, PLLC | Other |
| VISION SERVICE PLAN (VSP) | Vision |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Other, Health, Dental |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |
| FEDERAL INSURANCE COMPANY | Other |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Dental, Vision, Life |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| ALLIANT INSURANCE SERVICES, INC. | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |
| CHRISTA G AUFDEMBERG INC | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |
| CHARLES A WALTERS | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |
| MARY THERESA FISHER | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |
| CECILIA B. QUINTEROS | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |
| KACY LAVENDER | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |
| WARNER PACIFIC INSURANCE SERVICES | FEDERAL INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |

## 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/262087865-501
- Cite as: PlanOptica, https://planoptica.com/welfare/262087865-501
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