# HARMONIC INC. CONSOLIDATED WELFARE PLAN

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

| Field | Value |
|---|---|
| Sponsor | HARMONIC INC. |
| EIN | 770201147 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN JOSE, CA |
| Industry | telecommunications |
| Funding | mixed |
| Total premiums | $2.1M |
| Participants | 339 |
| Persons covered | 490 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| VOYA FINANCIAL | Life, LTD, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other, Life, LTD |
| FEDERAL INSURANCE COMPANY | Other |
| METLIFE LEGAL PLANS | Other |
| HEALTH ADVOCATE SOLUTIONS, INC. | Other |

## Brokers

| Broker | Placed with |
|---|---|
| WOODRUFF-SAWYER & CO | RELIASTAR LIFE INSURANCE COMPANY |
| WOODRUFF-SAWYER & CO | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| AGIS NETWORK INC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| WOODRUFF-SAWYER & CO | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| WARNER PACIFIC INSURANCE SERVICES | FEDERAL INSURANCE COMPANY |
| WOODRUFF-SAWYER & CO | FEDERAL INSURANCE COMPANY |
| WOODRUFF-SAWYER & CO | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| WOODRUFF-SAWYER & CO | METROPOLITAN LIFE 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/770201147-501
- Cite as: PlanOptica, https://planoptica.com/welfare/770201147-501
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