# SANTA ROSA COMMUNITY HEALTH CENTERS HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **SANTA ROSA COMMUNITY HEALTH CENTERS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | SANTA ROSA COMMUNITY HEALTH CENTERS |
| EIN | 680365296 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SANTA ROSA, CA |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $6.9M |
| Participants | 450 |
| Persons covered | 564 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| WESTERN HEALTH ADVANTAGE | Health, Rx, HMO |
| SUTTER HEALTH PLAN | Health, Rx, HMO |
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| DELTA DENTAL OF CALIFORNIA | Dental, HMO |

## Brokers

| Broker | Placed with |
|---|---|
| RELATION INSURANCE SERVICES OF CA | KAISER FOUNDATION HEALTH PLAN, INC. |
| RELATION INSURANCE SERVICES OF CA | WESTERN HEALTH ADVANTAGE |
| RELATION INSURANCE SERVICES OF CA | SUTTER HEALTH PLAN |
| RELATION INSURANCE SERVICES OF CA | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| RELATION INSURANCE SERVICES OF CA | VISION SERVICE PLAN |
| RELATION INSURANCE SERVICES OF CA | DELTA DENTAL OF CALIFORNIA |

## 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/680365296-501
- Cite as: PlanOptica, https://planoptica.com/welfare/680365296-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers