Golden State Orthopedics & Spine
Overview
Golden State Orthopedics & Spine sponsors a self-funded health plan that covered 558 participants in plan year 2025, up 4% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 558 · prior year 538
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Golden State Orthopedics & Spine Life and Health Plan, plan 502 (558 participants)
- Broker compensation
- $30K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| United of Omaha Life Insurance Company | Life, Long-term disability | 558 | $127K | $18K |
| Sun Life Assurance Company of Canada | Vision | 334 | $62K | $6K |
| Aflac | Short-term disability | 44 | $44K | $6K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 558 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Golden State Orthopedics & Spine
- Sponsor EIN
- 94-3375456
- Plan number
- 502
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 94-3375456 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Golden State Orthopedics & Spine Profit Sharing 401(k) Plan
- Type
- 401(k) plan
- Participants
- 800
About this data
Source: Golden State Orthopedics & Spine's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Golden State Orthopedics & Spine.