Plan Ledger DOL Form 5500 · updated monthly

Boardriders, Inc.benefits

Boardriders, Inc. Health & Welfare Plan · HUNTINGTON BEACH, CA · plan year 2023

Broker compensation reported · 2023
$197,216

Boardriders, Inc.'s benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $197,216 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 20236
PRUDENTIAL INSURANCE COMPANY OF AMERICA · life std ltdpremiums n/a · 442 covered
HAWAII MEDICAL SERVICE ASSOCIATION · health drug vision hmo ppopremiums n/a · 3 covered
HAWAII DENTAL SERVICE · dentalpremiums n/a · 72 covered
AETNA HEALTH OF CALIFORNIA INC. · health drug hmopremiums n/a · 374 covered
KAISER FOUNDATION HEALTH PLAN INC · health drug hmopremiums n/a · 286 covered
AETNA LIFE INSURANCE COMPANY · health drug dental vision ppopremiums n/a · 851 covered
Brokers & agents paid · 20233
ADVOCATE INC.$192,249
USI INSURANCE SERVICES LLC$4,786 · incl $4,776 fees
IMG$181 · incl $181 fees
Also brokered by Advocate Inc.2

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 330199426 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.