# SAN YSIDRO HEALTH EMPLOYEE WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **SAN YSIDRO HEALTH CENTER, INC**. Form 5500 filing for plan year 2026.

| Field | Value |
|---|---|
| Sponsor | SAN YSIDRO HEALTH CENTER, INC |
| EIN | 952801772 |
| Plan number | 501 |
| Plan year | 2026 |
| Location | SAN DIEGO, CA |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $40.4M |
| Participants | 2,738 |
| Persons covered | 4,844 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| SHARP HEALTH PLAN | Health, Rx, Vision |
| HEALTH AND HUMAN RESOURCE CENTER | Other |
| SIMNSA | Health, Rx, Dental |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, LTD, Other |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, STD, LTD, Other |
| EYEMED VISION CARE | Vision |
| ANTHEM LIFE INSURANCE COMPANY | Other |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| NONSTOP ADMIN. AND INS. SERVICES | SIMNSA |
| MARSH & MCLENNAN AGENCY LLC | RELIANCE STANDARD LIFE INSURANCE COMPANY |
| SUSIE A ESTRADA | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| SCOTT CASTEEL | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| LUIS RAFAEL VALLE | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| RAYMOND KWOCKMAN GONG | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| RALPH F REA JR | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| GREGORY ALFRED MOORE | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY |
| MARSH & MCLENNAN AGENCY LLC | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. |
| DAVID QUACKENBUSH | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD |

## 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/952801772-501
- Cite as: PlanOptica, https://planoptica.com/welfare/952801772-501
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