# INFINERA HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **INFINERA CORPORATION**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | INFINERA CORPORATION |
| EIN | 770560433 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN JOSE, CA |
| Industry | telecommunications |
| Funding | fully insured |
| Total premiums | $3.9M |
| Participants | 0 |
| Persons covered | 2,579 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, Dental, Vision, HMO |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| BLUE SHIELD OF CALIFORNIA | Health, Rx, Dental, HMO, PPO |
| VISION SERVICE PLAN (VSP) | Vision |
| COMPSYCH | Other |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| LOCKTON COMPANIES, LLC | KAISER FOUNDATION HEALTH PLAN, INC. |
| LOCKTON COMPANIES, LLC | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| LOCKTON COMPANIES, LLC | CALIFORNIA PHYSICIANS' SERVICE |
| LOCKTON COMPANIES, LLC | VISION SERVICE PLAN |
| LOCKTON COMPANIES, LLC | NATIONAL UNION FIRE INSURANCE COMPANY 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/770560433-501
- Cite as: PlanOptica, https://planoptica.com/welfare/770560433-501
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