# DELTA DENTAL OF CALIFORNIA EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **DELTA DENTAL OF CALIFORNIA**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | DELTA DENTAL OF CALIFORNIA |
| EIN | 941461312 |
| Plan number | 522 |
| Plan year | 2025 |
| Location | SAN FRANCISCO, CA |
| Industry | Finance and Insurance |
| Funding | mixed |
| Total premiums | $19.0M |
| Participants | 3,144 |
| Persons covered | 3,951 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| HARTFORD LIFE AND ACCIDENT | Life, STD, LTD, Other |
| COMPSYCH | Other |
| DELTA DENTAL OF CALIFORNIA | Dental, Other |
| ZURICH AMERICAN INSURANCE COMPANY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | HARTFORD LIFE AND ACCIDENT |
| MERCER HEALTH AND BENEFITS, LLC | ZURICH AMERICAN 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/941461312-522
- Cite as: PlanOptica, https://planoptica.com/welfare/941461312-522
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers