# TWO CHAIRS BEHAVIORAL HEALTH GROUP HEALTH & WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **TWO CHAIRS BEHAVIORAL HEALTH GROUP, A PSYCHOLOGY CORPORATION**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | TWO CHAIRS BEHAVIORAL HEALTH GROUP, A PSYCHOLOGY CORPORATION |
| EIN | 815119771 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN FRANCISCO, CA |
| Industry | medical practice |
| Funding | fully insured |
| Total premiums | $7.7M |
| Participants | 529 |
| Persons covered | 555 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE SHIELD OF CALIFORNIA | Health, Rx, HMO, PPO |
| KAISER PERMANENTE | Health, Rx, HMO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, STD, LTD, Other |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health, Rx, Dental, Vision, Life, PPO, Other |

## Brokers

| Broker | Placed with |
|---|---|
| SEQUOIA BENEFITS & INS SVCS LLC | CALIFORNIA PHYSICIANS SERVICE |
| SEQUOIA BENEFITS & INS SVCS LLC | KAISER FOUNDATION HEALTH PLAN INC |
| NEWFRONT INSURANCE SERVICES, LLC | KAISER FOUNDATION HEALTH PLAN INC |
| SEQUOIA BENEFITS & INS SVCS LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| SEQUOIA BENEFITS & INS SVCS LLC | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |

## 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/815119771-501
- Cite as: PlanOptica, https://planoptica.com/welfare/815119771-501
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