Plan Ledger DOL Form 5500 · updated monthly

Otrb Corporate, LLCbenefits

One Table Restaurant Operations LLC Health and Welfare Plan · LOS ANGELES, CA · plan year 2025

Broker compensation reported · 2025
$77,583

Otrb Corporate, LLC's benefits plans covered 169 active participants in 2025, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $77,583 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $459 per covered person, in the top quarter of employer plans that report broker pay. Broker pay fell 20% from $96,618 in 2024.

Insurance contracts · 202511
BLUE CROSS OF CALIFORNIA · health drug hmo ppopremiums n/a
UNUM LIFE INSURANCE COMPANY OF AMERICA · lifepremiums n/a · 71 covered
UNUM LIFE INSURANCE COMPANY OF AMERICA · life ltdpremiums n/a · 169 covered
UNUM INSURANCE COMPANYpremiums n/a · 97 covered
BLUE CROSS OF CALIFORNIA · health drug hmo ppopremiums n/a · 134 covered
UNUM LIFE INSURANCE COMPANY OF AMERICA · std ltdpremiums n/a · 57 covered
UNUM INSURANCE COMPANYpremiums n/a · 95 covered
UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. · dentalpremiums n/a · 39 covered
VISION SERVICE PLAN · visionpremiums n/a · 109 covered
UNITED CONCORDIA INSURANCE COMPANY · dentalpremiums n/a · 126 covered
UNUM INSURANCE COMPANYpremiums n/a · 91 covered
Brokers & agents paid · 20252
THE BALDWIN GROUP WEST LLC$62,482 · incl $6,087 fees
VOLUNTARY BENEFIT ADVISORS$15,101 · incl $1,182 fees
Also brokered by The Baldwin Group West LLC5

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 331242691 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.