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Sponsor portfolioWelfare / HealthEIN 45-2422755

15 FIVE, INC.

3053 FILLMORE STREET #279 · SAN FRANCISCO, CA 94123
2088164225
Plans filed
1
Years active
2021–2025
Industry
NAICS 51
Latest filing
2025
Total premiums (latest)
$2.0M
No prior year
Persons covered
188
No prior year
Total participants
85
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$2.0M
15 FIVE, INC. EMPLOYEE HEALTH AND WELFARE BENEFITS PLAN
Fully insured188 covered·3 carriers
Primary: BLUE CROSS OF CALIFORNIA

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.8M58.4%
Dental$210K6.9%
Vision$210K6.9%
Life$210K6.9%
Short-term disability$210K6.9%
Long-term disability$210K6.9%
Other$210K6.9%
Prescription drug$12K0.4%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 953760980
H
$1.8M88.9%11188
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
EIN 135123390
DVLSTDLTDOth
$210K10.5%11142
KAISER FOUNDATION HEALTH PLAN INC
EIN 941340523
HRx
$12K0.6%131

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
SEQUOIA BENEFITS & INS SVCS LLCSAN MATEO, CABLUE CROSS OF CALIFORNIA, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, KAISER FOUNDATION HEALTH PLAN INC.$94K$5K$99K100.0%1

History & trajectory

5 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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