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Form 5500 · Employee benefit plan · IRVINE, CA

360 DG, LLC

The filing calls this plan 360 DG, LLC HEALTH & WELFARE PLAN.

360 DG, LLC of IRVINE, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CMR RISK & INSURANCE SVCS INC. Coverage is written through CALIFORNIA PHYSICIANS SERVICE and 1 other carrier. The plan's most recent policy period ended in March.

Benefits broker of record
Policy year ends
Marchas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 45-3854675 · plan 501 · plan year 2025, filed Jan 14, 2026

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How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
152
Active at start of year
151
Active at end of year
137
Disclosed commissions
$18,618
Typical renewal
April 1

Benefits declared on this filing

Healthinsured — CALIFORNIA PHYSICIANS SERVICE199 of 152 participants
Dentalinsured — CALIFORNIA PHYSICIANS SERVICE199 of 152 participants
Visioninsured — CALIFORNIA PHYSICIANS SERVICE199 of 152 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY131 of 152 participants (86%) on the largest contract
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY172 of 152 participants

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 4 insured contracts covering health, dental, vision, life and disability; the largest, with CALIFORNIA PHYSICIANS SERVICE, covers 199 people.

Reported premium across the insured contracts is $1,293,463, with $18,618 in disclosed broker commissions — about 1.4% of premium.

The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.

CMR RISK & INSURANCE SVCS INC is the broker of record on all 4 contracts.

Two carriers split the book: CALIFORNIA PHYSICIANS SERVICE and UNITED OF OMAHA LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability172Apr 1, 2025$71,330$7,133
CALIFORNIA PHYSICIANS SERVICEHealth, Dental, Vision199Apr 1, 2025$1,192,372$7,021
UNITED OF OMAHA LIFE INSURANCE COMPANYLife131Apr 1, 2025$24,216$3,632
UNITED OF OMAHA LIFE INSURANCE COMPANYLife172Apr 1, 2025$5,545$832

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
360 DG, LLC
EIN 45-3854675

The plan administrator is from line 3a of the main form. We publish company names only.

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