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Sponsor portfolioWelfare / HealthEIN 94-2878925

SUMMIT STATE BANK

500 BICENTENNIAL WAY · SANTA ROSA, CA 95403
7075684930
Plans filed
1
Years active
2022–2025
Industry
NAICS 52
Latest filing
2025
Total premiums (latest)
$1.4M
No prior year
Persons covered
106
No prior year
Total participants
100
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$1.4M
SUMMIT STATE BANK EMPLOYEES WELFARE BENEFIT PLAN
Fully insured106 covered·5 carriers
Primary: KAISER FOUNDATION HEALTH PLAN, INC.

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.2M85.3%
Dental$130K9.3%
Life$22K1.6%
Other$22K1.6%
Vision$16K1.1%
Long-term disability$14K1.0%

Carrier overview

4 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
KAISER FOUNDATION HEALTH PLAN INC
EIN 941340523
H
$862K62.7%11104
CIGNA HEALTH AND LIFE INSURANCE COMPANY
EIN 591031071
HD
$460K33.4%12100
UNITED OF OMAHA LIFE INSURANCE COMPANY
EIN 470322111
LLTDOth
$37K2.7%12106
VISION SERVICE PLAN
EIN 941632821
V
$16K1.2%1195

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
ACRISURE LLCSAN JOSE, CACIGNA HEALTH AND LIFE INSURANCE COMPANY, CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, KAISER FOUNDATION HEALTH PLAN, INC., UNITED OF OMAHA LIFE INSURANCE COMPANY$98K$2K$100K100.0%1

History & trajectory

4 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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