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Original filing (PDF)20250917150426NAL0000597104001
WORKERS' COMPENSATION INSURANCE RATING BUREAU OF CALIFORNIA
Form 5500
FILING_RECEIVED
WORKERS' COMPENSATION INSURANCE RATING BUREAU OF CALIFORNIA 401(K) PLAN
401(k) retirement plan
Signals · 1
27% in single holding
Active participants
166
Accounts w/ balance
237
Plan assets (EOY)
$54.9M
Net assets (EOY)
$54.9M
How this plan invests
This plan
4 pooled trusts
Schedule D
18 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
97
/ 100
Grade A
Top-tier plan health
Directional indicator computed from public Form 5500 data — compliance, concentration, cost, vendor stack and participation. Not a fiduciary tool.
Compliance & disclosures
100
Concentration risk
86
Total plan cost
100
Vendor stack
100
Participation health
100
Knocking points off
- Top holding "Government Income Fund Class I Fidelity Investments Fidelity® 500 Index 72,452" is 27% of plan.
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for WORKERS' COMPENSATION INSURANCE RATING BUREAU OF CALIFORNIA.
Plan sponsor
Name
WORKERS' COMPENSATION INSURANCE RATING BUREAU OF CALIFORNIA
EIN
94-0358760
Address
ONE MONTGOMERY STREET · 4TH FLOOR · SAN FRANCISCO, CA · 94104
Phone
(888) 229-2472
Industry
Other Services (ex. Public Admin)see all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
002
Plan year
2024
Plan year begin
2024-01-01
Tax period
2024-12-31
Filed
2025-09-17
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2S · Automatic enrollment
2T · Default investment account (QDIA)
3D · Pre-approved plan (master / prototype / VS)
Audit & trust (Schedule H)
Auditor
WITHUM-SMITH+BROWN, PC
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
3 rowsRecordkeeper
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| EMPOWER ANNUITY INSURANCE COMPANY | 06-1050034 | GREENWOOD VILLAGE, CO | RECORDKEEPER | $26K | — |
Advisor / Consultant
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| NWK GROUP INC | — | SAN FRANCISCO, CA | INVESTMENT ADVISOR | $64K | — |
Accountant / Auditor
1| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| WITHUMSMITH+BROWN, PC | — | PRINCETON, NJ | AUDITOR | $10K | — |
Investments
18 direct securities · 4 pooled funds· $67.2M(100% of reported assets)
Rows tagged as a trust or pooled fund hold many underlying securities. Click one to drill into its own Schedule of Assets — where the individual funds, shares, and CUSIPs live.
Uncategorized
$50.6M
16 holdings
Pooled Separate Account
$12.9M
4 holdings
Mutual Funds
$2.2M
1 holding
Pooled Separate Accounts
$1.5M
1 holding
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| Government Income Fund Class I Fidelity Investments Fidelity® 500 Index 72,452 | — | — | $72K | $14.8M | 27.0% | |
| Insurance and Annuity Insurance and Annuity Company - Real Estate / Cohen & Steers Fund * Prudential Retirement Prudential Retirement 68,684 | — | — | $69K | $8.3M | 15.2% | |
| LARGE CAP GROWTH / JP MORGAN INVST EMPOWER ANNUITY INSURANCE COMPANY · EIN 06-1050034 / PN 141 | Pooled Separate Account | — | — | $8.3M | 15.2% | |
| Growth K6 Fund JP Morgan JPMorgan Equity 186,333 | — | — | $186K | $4.5M | 8.1% | |
| Fidelity Investments Fidelity Small Cap 163,963 | — | — | $164K | $2.9M | 5.3% | |
| Fully benefit responsive investment contracts * Prudential Retirement Prudential Retirement 91,229 | — | — | $91K | $2.7M | 4.9% | |
| Class Z * T. Rowe Price Group T. Rowe Price Mid Cap 25,520 | — | — | $26K | $2.5M | 4.6% | |
| Insurance and Annuity Insurance and Annuity Company - Large Cap Growth / JP Morgan Investment Management Fund * Prudential Retirement Prudential Retirement 188,304 | — | — | $188K | $2.4M | 4.5% | |
| PGIM TOTAL RETURN BOND FUND (IS) EMPOWER ANNUITY INSURANCE COMPANY · EIN 06-1050034 / PN 814 | Pooled Separate Account | — | — | $2.4M | 4.5% | |
| Markets Index Fund Admiral Shares The Vanguard Group Vanguard Mid Cap 7,459 | — | — | $7K | $2.4M | 4.4% | |
| Index Fund Admiral Shares The Vanguard Group Vanguard Small Cap 20,099 | — | — | $20K | $2.3M | 4.2% | |
| DFA International DFA International Core 143,408 | Mutual Funds | — | $143K | $2.2M | 4.0% | |
| Growth Fund The Vanguard Group Vanguard Developed 117,288 | — | — | $117K | $1.8M | 3.3% | |
| Balanced Fund Class I Fidelity Investments Fidelity Advisor 198,292 | — | — | $198K | $1.8M | 3.3% | |
| valued at RDFV * Prudential Retirement Prudential Retirement 17,557 | Pooled Separate Accounts | — | $18K | $1.5M | 2.8% | |
| REAL ESTATE / COHEN & STEERS FUND EMPOWER ANNUITY INSURANCE COMPANY · EIN 06-1050034 / PN 305 | Pooled Separate Account | — | — | $1.5M | 2.8% | |
| Equity I Fidelity Investments Fidelity Advisor 49,465 | — | — | $49K | $1.5M | 2.7% | |
| Income Fund Class I PGIM Investments PGIM High Yield Fund 186,648 | — | — | $187K | $892K | 1.6% | |
| Inc. Established Value Fund Class I Fidelity Investments Fidelity Emerging 18,349 | — | — | $18K | $699K | 1.3% | |
| Insurance and Annuity Insurance and Annuity Company - Prudential Total Return Bond SA * Prudential Retirement Prudential Retirement 7,665 | — | — | $8K | $520K | 0.9% | |
| SMALL CAP VALUE / KENNEDY CAPITAL F EMPOWER ANNUITY INSURANCE COMPANY · EIN 06-1050034 / PN 257 | Pooled Separate Account | — | — | $520K | 0.9% | |
| Index Fund Admiral Shares Victory Capital Services, Victory Sycamore 11,039 | — | — | $11K | $507K | 0.9% |
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