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Sponsor portfolioWelfare / HealthEIN 13-3711155

FORMFACTOR, INC.

7005 SOUTHFRONT ROAD · LIVERMORE, CA 94551
9252904000
Plans filed
1
Years active
2015–2025
Industry
NAICS 33
Latest filing
2025
Total premiums (latest)
$26.1M
No prior year
Persons covered
1,579
No prior year
Total participants
1,579
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #502$26.1M
FORMFACTOR, INC. GROUP WELFARE BENEFIT PLAN
Mixed1,579 covered·9 carriers
Primary: CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$24.4M35.9%
Prescription drug$24.4M35.9%
Dental$12.4M18.3%
Other$1.7M2.6%
Life$1.7M2.5%
Short-term disability$1.6M2.4%
Long-term disability$1.6M2.4%

Carrier overview

7 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
CIGNA HEALTH AND LIFE INSURANCE COMPANY
EIN 591031071
HRxD
$12.4M47.6%111,339
KAISER FOUNDATION HEALTH PLAN INC
EIN 941340523
HRx
$11.9M45.4%131,338
RELIANCE STANDARD LIFE INSURANCE COMPANY
EIN 360883760
LSTDLTDOth
$1.6M6.2%111,579
FOUR EVER LIFE INSURANCE COMPANY
EIN 362149353
HRx
$89K0.3%118
METROPOLITAN LIFE INSURANCE COMPANY
EIN 222342710
Oth
$69K0.3%11253
TRUSTMARK INSURANCE COMPANY
EIN 360792925
LOth
$43K0.2%1126
LIFE INSURANCE COMPANY OF NORTH AMERICA
EIN 131963496
Oth
$8K0.0%111,579

Broker overview

3 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
USI INSURANCE SERVICES LLCPORTLAND, ORRELIANCE STANDARD LIFE INSURANCE COMPANY, FOUR EVER LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, METROPOLITAN GENERAL INSURANCE COMPANY$42K$331$43K77.0%1
BLTC FUNDING LLCWOODINVILLE, WATRUSTMARK INSURANCE COMPANY$9K$0$9K16.3%1
MERCER HEALTH AND BENEFITS, LLCCHICAGO, ILCIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, METROPOLITAN GENERAL INSURANCE COMPANY$2K$2K$4K6.6%1

History & trajectory

11 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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