Form 5500 · Employee benefit plan · CULVER CITY, CA
AVALON TRANSPORTATION
AVALON TRANSPORTATION of CULVER CITY, CA insures health, dental and vision coverage for its employees, per Schedule A of its Form 5500. Its broker of record is FORUM BENEFITS INC. Coverage is written through BLUE CROSS OF CALIFORNIA and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 16-1658190 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental and vision; the largest, with BLUE CROSS OF CALIFORNIA, covers 80 people.
Reported premium across the insured contracts is $1,255,612, with $60,068 in disclosed broker commissions — about 4.8% of premium.
The health contract's policy period ended in August, while at least one ancillary line renews in December — the plan is on a split renewal cycle.
FORUM BENEFITS INC is the broker of record on all 3 contracts.
3 carriers appear on the filing — BLUE CROSS OF CALIFORNIA, KAISER FOUNDATION HEALTH PLAN INC and AMERITAS LIFE INSURANCE CORP — with BLUE CROSS OF CALIFORNIA writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health | 80 | August | $1,073,937 | $48,605 |
| AMERITAS LIFE INSURANCE CORP | Dental, Vision | 387 | December | $86,525 | $8,653 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 13 | December | $95,150 | $2,810 |
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