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Original filing (PDF)20250924185938NAL0007032193001
KAISER FOUNDATION HEALTH PLAN, INC.
Form 5500
FILING_RECEIVED
KAISER PERMANENTE TAX SHELTERED ANNUITY PLAN
401(k) retirement plan
Signals · 3
Late filing · 34.3 mo25% in single holdingNo recordkeeper disclosed
Active participants
5,150
Accounts w/ balance
10,183
Plan assets (EOY)
$1.2B
Net assets (EOY)
$1.2B
How this plan invests
This plan
24 securities
funds · stocks · CUSIPs
Holdings are itemized directly on this plan's Schedule of Assets, below.
Plan health score (directional)
88
/ 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
75
Concentration risk
87
Total plan cost
100
Vendor stack
80
Participation health
100
Knocking points off
- Filed 34.3 months past the 10.5-month grace window.
- Top holding "Vanguard Institutional Total Stock Mkt Idx Fund: Inst'l Plus Mutual Fund" is 25% of plan.
- No recordkeeper disclosed on Schedule C.
Helping the score
- Below-peer total fees (3 bps vs 5 bps peer median).
Decision-maker contacts
CFO / Head of HR / Benefits Manager — verified email + LinkedIn for KAISER FOUNDATION HEALTH PLAN, INC..
Plan sponsor
Name
KAISER FOUNDATION HEALTH PLAN, INC.
EIN
94-1340523
Address
ONE KAISER PLAZA · 20B · OAKLAND, CA · 94612
Phone
(510) 271-5940
Industry
Health Care & Social Assistancesee all
Plan administrator
Same as plan sponsor.
Plan characteristics
Plan number
033
Plan year
2024
Plan year begin
2021-01-01
Tax period
2021-12-31
Filed
2025-09-24
Pension benefit codes
2E · Profit-sharing
2F · ERISA section 404(c)
2G · Total participant-directed accounts
2J · 401(k) feature
2K · 401(m) arrangement
2R · Participant-directed brokerage (SDBA)
2T · Default investment account (QDIA)
3H · Sponsor in controlled / affiliated group
Audit & trust (Schedule H)
Auditor
MOSS ADAMS LLP
Trustee / custodian
—
Trustee phone
—
Service providers (Schedule C)
2 rowsOther
2| Name | EIN | Location | Relation | Direct comp | Indirect comp |
|---|---|---|---|---|---|
| VANGUARD ADVISERS INC. | 23-2811930 | — | NONE | $335K | — |
| THE VANGUARD GROUP, INC. | 23-1945930 | — | NONE | $72K | — |
Investments
24 direct securities· $1.2B(100% of reported assets)
| PI | Investment | Type | Shares / units | Cost | Current value | % of plan |
|---|---|---|---|---|---|---|
| Vanguard Institutional Total Stock Mkt Idx Fund: Inst'l Plus Mutual Fund | — | — | — | $313.1M | 25.3% | |
| Vanguard Wellington Fund Admiral Shares Mutual Fund | — | — | — | $166.3M | 13.4% | |
| Stable Income Fund Investment contract with insurance company | — | — | — | $132.3M | 10.7% | |
| Vanguard PRIMECAP Fund Admiral Shares Mutual Fund | — | — | — | $99.3M | 8.0% | |
| Vanguard International Growth Fund Admiral Shares Mutual Fund | — | — | — | $91.5M | 7.4% | |
| Vanguard Total Bond Market Index Fund: Inst'l Plus Shr Mutual Fund | — | — | — | $86.2M | 7.0% | |
| JPMorgan SmartRetirement Blend 2035 Fund; Class R6 Mutual Fund | — | — | — | $39.3M | 3.2% | |
| JPMorgan SmartRetirement Blend 2030 Fund; Class R6 Mutual Fund | — | — | — | $38.0M | 3.1% | |
| JPMorgan SmartRetirement Blend 2040 Fund; Class R6 Mutual Fund | — | — | — | $35.3M | 2.9% | |
| JPMorgan SmartRetirement Blend 2025 Fund; Class R6 Mutual Fund | — | — | — | $34.9M | 2.8% | |
| JPMorgan SmartRetirement Blend 2020 Fund; Class R6 Mutual Fund | — | — | — | $33.3M | 2.7% | |
| JPMorgan SmartRetirement Blend Income Fund; Class R6 Mutual Fund | — | — | — | $31.2M | 2.5% | |
| Vanguard Explorer Fund Admiral Shares Mutual Fund | — | — | — | $26.6M | 2.1% | |
| Vanguard FTSE Social Index Fund Institutional Shares Mutual Fund | — | — | — | $24.7M | 2.0% | |
| Vanguard Total International Stock Index Fund: Inst'l Plus Shr Mutual Fund | — | — | — | $24.5M | 2.0% | |
| JPMorgan SmartRetirement Blend 2045 Fund; Class R6 Mutual Fund | — | — | — | $23.3M | 1.9% | |
| Vanguard Core Bond Fund Admiral Shares Mutual Fund | — | — | — | $12.5M | 1.0% | |
| JPMorgan SmartRetirement Blend 2050 Fund; Class R6 Mutual Fund | — | — | — | $10.7M | 0.9% | |
| Vanguard Brokerage Option Fund Participant-directed brokerage accounts | — | — | — | $4.6M | 0.4% | |
| JPMorgan SmartRetirement Blend 2055 Fund; Class R6 Mutual Fund | — | — | — | $3.7M | 0.3% | |
| Notes receivable from participants 4.25% - 9.75% | — | — | — | $3.6M | 0.3% | |
| JPMorgan SmartRetirement Blend 2060 Fund; Class R6 Mutual Fund | — | — | — | $2.0M | 0.2% | |
| Vanguard Global ESG Select Stock Fund Admiral Shares Mutual Fund | — | — | — | $1.3M | 0.1% | |
| Vanguard Cash Reserves Federal MM Fund Admiral Shares Mutual Fund | — | — | — | $96K | <0.1% |