# MEDIC AMBULANCE HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **MEDIC AMBULANCE SERVICE INC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MEDIC AMBULANCE SERVICE INC |
| EIN | 942725852 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | FAIRFIELD, CA |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $3.2M |
| Participants | 265 |
| Persons covered | 425 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health |
| SUTTER HEALTH PLAN | Health, Rx, HMO |
| WESTERN HEALTH ADVANTAGE | Health, Rx, HMO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | LTD, Life |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| TAMI JO SCHREINER | KAISER FOUNDATION HEALTH PLAN, INC. |
| WARNER PACIFIC INSURANCE SERVICES | KAISER FOUNDATION HEALTH PLAN, INC. |
| GAVIN & SCHREINER INSURANCE | SUTTER HEALTH PLAN |
| WARNER PACIFIC INSURANCE SERVICES | SUTTER HEALTH PLAN |
| GAVIN & SCHREINER INSURANCE | WESTERN HEALTH ADVANTAGE |
| TAMI JO SCHREINER | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| GAVIN & SCHREINER INSURANCE | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| TAMI JO SCHREINER | VISION SERVICE PLAN |

## 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/942725852-501
- Cite as: PlanOptica, https://planoptica.com/welfare/942725852-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers