# PANDA RESTAURANT GROUP FLEXIBLE BENEFITS PLAN

Health and welfare plan sponsored by **PANDA RESTAURANT GROUP**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PANDA RESTAURANT GROUP |
| EIN | 954065005 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | ROSEMEAD, CA |
| Industry | restaurants |
| Funding | fully insured |
| Total premiums | $24.5M |
| Participants | 9,888 |
| Persons covered | 13,379 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health |
| UNIVERSITY HEALTH ALLIANCE | Health, Rx, Vision |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, LTD, Other, STD |
| UNITEDHEALTHCARE INSURANCE COMPANY | Stop-loss |
| VISION SERVICE PLAN (VSP) | Vision |
| DELTA DENTAL OF CALIFORNIA | Dental |
| HAWAII DENTAL SERVICE | Dental |
| SUN LIFE FINANCIAL | Dental |

## Brokers

| Broker | Placed with |
|---|---|
| RAYMOND DICK | KAISER FOUNDATION HEALTH PLAN, INC. |
| MERCER HEALTH AND BENEFITS, LLC | UNIVERSITY HEALTH ALLIANCE |
| RAYMOND DICK | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | HAWAII DENTAL SERVICE |
| RAYMOND DICK | SUN LIFE ASSURANCE COMPANY OF CANADA |

## 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/954065005-501
- Cite as: PlanOptica, https://planoptica.com/welfare/954065005-501
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