# THE MEDALLIA, INC. WELFARE BENEFITS PLAN

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

| Field | Value |
|---|---|
| Sponsor | MEDALLIA, INC. |
| EIN | 770558353 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PLEASANTON, CA |
| Industry | information technology and services |
| Funding | mixed |
| Total premiums | $21.2M |
| Participants | 937 |
| Persons covered | 1,759 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| ANTHEM LIFE INSURANCE COMPANY | Health, Rx, PPO |
| METLIFE LEGAL PLANS | Dental |
| KAISER PERMANENTE | Health, Rx, HMO |
| PRUDENTIAL INSURANCE COMPANY OF AMERICA | Life, LTD, Other |
| VISION SERVICE PLAN (VSP) | Vision |
| AFLAC | Indemnity, Other |
| METROPOLITAN GENERAL INSURANCE COMPANY | Other |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| NEWFRONT INSURANCE SERVICES, LLC | BLUE CROSS OF CALIFORNIA |
| NEWFRONT INSURANCE SERVICES, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| NEWFRONT INSURANCE SERVICES, LLC | KAISER FOUNDATION HEALTH PLAN, INC. |
| NEWFRONT INSURANCE SERVICES, LLC | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| IMG | PRUDENTIAL INSURANCE COMPANY OF AMERICA |
| NEWFRONT INSURANCE SERVICES, LLC | VISION SERVICE PLAN |
| NEWFRONT INSURANCE SERVICES, LLC | CONTINENTAL AMERICAN INSURANCE COMPANY |
| MATT SMITH | CONTINENTAL AMERICAN INSURANCE COMPANY |
| NEWFRONT INSURANCE SERVICES, LLC | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
| NEWFRONT INSURANCE SERVICES, LLC | METROPOLITAN GENERAL INSURANCE COMPANY |
| NEWFRONT INSURANCE SERVICES, LLC | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA |

## 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/770558353-501
- Cite as: PlanOptica, https://planoptica.com/welfare/770558353-501
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