# SANSUM CLINIC FOUNDATION EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **SANSUM CLINIC**. Form 5500 filing for plan year 2024.

| Field | Value |
|---|---|
| Sponsor | SANSUM CLINIC |
| EIN | 956419205 |
| Plan number | 502 |
| Plan year | 2024 |
| Location | SACRAMENTO, CA |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $342K |
| Participants | 1,126 |
| Persons covered | 869 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AFLAC | LTD |
| ANTHEM LIFE INSURANCE COMPANY | Dental |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Health, Life, Other |
| HARTFORD LIFE AND ACCIDENT | Other |

## Brokers

| Broker | Placed with |
|---|---|
| AFLAC - SEE ATTACHMENT | AFLAC |
| ALLIANT INSURANCE SERVICES, INC. | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY |
| AFLAC - SEE ATTACHMENT | COLONIAL LIFE & ACCIDENT 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/956419205-502
- Cite as: PlanOptica, https://planoptica.com/welfare/956419205-502
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers
