Plan Ledger DOL Form 5500 · updated monthly

Omnissa, LLCbenefits

Omnissa, LLC Health and Welfare Plan · MOUNTAIN VIEW, CA · plan year 2024

Broker compensation reported · 2024
None reported

Omnissa, LLC's benefits plan covered 1,449 active participants in 2024, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other.

Insurance contracts · 20247
LIFE INSURANCE COMPANY OF NORTH AMERICA · lifepremiums n/a · 1,525 covered
LIFE INSURANCE COMPANY OF NORTH AMERICApremiums n/a · 1,525 covered
LIFE INSURANCE COMPANY OF NORTH AMERICA · ltdpremiums n/a · 1,525 covered
VISION SERVICE PLAN · visionpremiums n/a · 1,356 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 134 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 10 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 1 covered

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 991846450 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.