# GROUP LIFE MEDICAL AND DENTAL

Health and welfare plan sponsored by **STATER BROS. MARKETS**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | STATER BROS. MARKETS |
| EIN | 952586175 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SAN BERNARDINO, CA |
| Industry | retail |
| Funding | mixed |
| Total premiums | $14.5M |
| Participants | 929 |
| Persons covered | 1,187 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| CENTENE CORP. GRP. DBA HEALTH NET LIFE INSURANCE COMPANY | Health, Rx, HMO, PPO |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, LTD, STD, Other |
| METLIFE LEGAL PLANS | Other |
| VISION SERVICE PLAN (VSP) | Vision |
| ARAG LEGAL | Other |
| NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| MERCER HEALTH AND BENEFITS, LLC | KAISER FOUNDATION HEALTH PLAN, INC |
| MERCER HEALTH AND BENEFITS, LLC | HEALTH NET |
| MERCER HEALTH AND BENEFITS, LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | VISION SERVICE PLAN |
| MERCER HEALTH AND BENEFITS, LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| MERCER HEALTH AND BENEFITS, LLC | ARAG 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/952586175-501
- Cite as: PlanOptica, https://planoptica.com/welfare/952586175-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers