Plan Ledger DOL Form 5500 · updated monthly

Domino Data Lab, Inc.benefits

Domino Data Lab Welfare Benefits Plan · SAN FRANCISCO, CA · plan year 2025

Broker compensation reported · 2025
$95,022

Domino Data Lab, Inc.'s benefits plans covered 179 active participants in 2025, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $95,022 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $531 per covered person, in the top quarter of employer plans that report broker pay. Broker pay rose 198% from $31,936 in 2024.

Insurance contracts · 20257
DELTA DENTAL OF CALIFORNIA · dentalpremiums n/a · 471 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 1 covered
LIFE INSURANCE COMPANY OF NORTH AMERICA · life std ltdpremiums n/a · 179 covered
KAISER FOUNDATION HEALTH PLAN INC · health drug hmopremiums n/a · 58 covered
VISION SERVICE PLAN · visionpremiums n/a · 127 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 37 covered
LIFE INSURANCE COMPANY OF NORTH AMERICA · life std ltdpremiums n/a · 126 covered
Brokers & agents paid · 20252
USI INSURANCE SERVICES LLC$87,448 · incl $3,418 fees
LUMITY, INC.$7,574 · incl $7,529 fees
Also brokered by Usi5
Adapthealth, LLC PA$827,688

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 900920871 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.