# PACIFICA HOSPITAL OF THE VALLEY MEDICAL PLAN

Health and welfare plan sponsored by **PACIFICA HOSPITAL OF THE VALLEY**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PACIFICA HOSPITAL OF THE VALLEY |
| EIN | 330737312 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | SUN VALLEY, CA |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $816K |
| Participants | 522 |
| Persons covered | 922 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ACCESS DENTAL PLAN CA | Dental, Vision |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life |
| FIDELITY SECURITY LIFE INSURANCE COMPANY | Dental, Vision |
| PREMIER ACCESS INSURANCE COMPANY | Dental, Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | ACCESS DENTAL PLAN CA |
| AFLAC - SEE ATTACHMENT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | FIDELITY SECURITY LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | PREMIER ACCESS 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/330737312-502
- Cite as: PlanOptica, https://planoptica.com/welfare/330737312-502
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