# ROTHY'S EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **ROTHY'S**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | ROTHY'S |
| EIN | 460577997 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN FRANCISCO, CA |
| Industry | apparel & fashion |
| Funding | mixed |
| Total premiums | $921K |
| Participants | 265 |
| Persons covered | 265 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| SUN LIFE FINANCIAL | Vision |
| ONE MEDICAL | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ADVOCATE, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| ADVOCATE, INC. | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| ADVOCATE, INC. | SUN LIFE ASSURANCE COMPANY OF CANADA |

## 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/460577997-501
- Cite as: PlanOptica, https://planoptica.com/welfare/460577997-501
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