Plan Ledger DOL Form 5500 · updated monthly

City Rise Safety, LLCbenefits

City Rise Safety Health and Welfare Plan · ST. LODI, CA · plan year 2025

Broker compensation reported · 2025
$120,206

City Rise Safety, LLC's benefits plan covered 118 active participants in 2025, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $120,206 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $1,019 per covered person, in the top 10% of employer plans that report broker pay.

Insurance contracts · 20253
PRINCIPAL LIFE INSURANCE COMPANY · dental vision lifepremiums n/a · 210 covered
CALIFORNIACHOICE · health hmo ppopremiums n/a · 92 covered
AFLAC · dental vision life stdpremiums n/a · 34 covered
Brokers & agents paid · 20254
VARIOUS- SEE ATTACHED DOCUMENT$8,474 · incl $301 fees
WARNER PACIFIC INSURANCE SVCS INC.$6,958 · incl $6,958 fees
Also brokered by Emerson Rogers LLC5
Minitab, LLC PA$264,965

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 471214369 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.