# GOLDEN STATE LUMBER HEALTH AND WELFARE PLAN

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

| Field | Value |
|---|---|
| Sponsor | GOLDEN STATE LUMBER, INC. |
| EIN | 680084293 |
| Plan number | 510 |
| Plan year | 2025 |
| Location | PETALUMA, CA |
| Industry | building materials |
| Funding | mixed |
| Total premiums | $9.3M |
| Participants | 654 |
| Persons covered | 1,129 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Other |
| CLAREMONT BEHAVIORAL SERVICES, INC. | Other |

## Brokers

| Broker | Placed with |
|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER | KAISER FOUNDATION HEALTH PLAN INC |
| EDGEWOOD PARTNERS INSURANCE CENTER | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| EDGEWOOD PARTNERS INSURANCE CENTER | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |

## 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/680084293-510
- Cite as: PlanOptica, https://planoptica.com/welfare/680084293-510
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers