Plan Ledger DOL Form 5500 · updated monthly

Sambanova Systems, Inc.benefits

Sambanova Systems, Inc. Employee Health and Welfare Benefits Plan · SAN JOSE, CA · plan year 2025

Broker compensation reported · 2025
$329,781

Sambanova Systems, Inc.'s benefits plans covered 285 active participants in 2025, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $329,781 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $1,157 per covered person, in the top 10% of employer plans that report broker pay. Broker pay fell 9.3% from $363,619 in 2024.

Insurance contracts · 20254
BLUE CROSS OF CALIFORNIA · health drug hmo ppopremiums n/a · 528 covered
KAISER FOUNDATION HEALTH PLAN INC. · health drug hmopremiums n/a · 62 covered
KAISER FOUNDATION HEALTH PLAN INC. · health drug hmopremiums n/a · 6 covered
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA · dental vision life std ltdpremiums n/a · 301 covered
Brokers & agents paid · 20252
SEQUOIA BENEFITS & INS SVCS$234,779 · incl $41,992 fees
SEQUOIA BENEFITS & INS SVCS LLC$95,002 · incl $17,828 fees
Also brokered by Sequoia Benefits & Ins Svcs1
Crafty, LLC IL$65,803

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 822909166 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.