# ALLBIRDS INC EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN

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

| Field | Value |
|---|---|
| Sponsor | ALLBIRDS INC |
| EIN | 473999983 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN FRANCISCO, CA |
| Industry | apparel & fashion |
| Funding | fully insured |
| Total premiums | $2.5M |
| Participants | 195 |
| Persons covered | 249 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ANTHEM LIFE INSURANCE COMPANY | Health, Rx, Dental, Vision, PPO |
| KAISER PERMANENTE | Health, Rx, HMO |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health, Dental |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| ONE MEDICAL | Health |
| WORKPLACE OPTIONS | Other |
| ZURICH AMERICAN INSURANCE COMPANY | Other |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, PPO |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | BLUE CROSS OF CALIFORNIA |
| ALLIANT INSURANCE SERVICES, INC. | KAISER FOUNDATION HEALTH PLAN, INC. |
| ALLIANT INSURANCE SERVICES, INC. | CIGNA HEALTH AND LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| WARNER PACIFIC INSURANCE SERVICES | ZURICH AMERICAN INSURANCE CO |
| ALLIANT INSURANCE SERVICES, INC. | ZURICH AMERICAN INSURANCE CO |
| ALLIANT INSURANCE SERVICES, INC. | HAWAII MEDICAL ASSURANCE ASSOCIATION |

## 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/473999983-501
- Cite as: PlanOptica, https://planoptica.com/welfare/473999983-501
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