Form 5500 · Employee benefit plan · LONG BEACH, CA
BRENTWOOD ORIGINALS, INC.
The filing calls this plan BRENTWOOD ORIGINALS, INC. EMPLOYEE WELFARE BENEFIT PLAN.
Public Form 5500 records show how BRENTWOOD ORIGINALS, INC. of LONG BEACH, CA, a manufacturing employer, structures its employee benefits. Its broker of record is DOVE BENEFITS INSURANCE SERVICES. Coverage is written through BLUE CROSS OF CALIFORNIA and 5 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-3287432 · plan 501 · plan year 2025, filed May 13, 2026
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364 other employer plans in California have policy years ending in November. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
Benefits declared on this filing
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 7 insured contracts covering health, dental, vision, life and disability; the largest, with BLUE CROSS OF CALIFORNIA, covers 206 people.
Reported premium across the insured contracts is $2,627,994, with $88,394 in disclosed broker commissions — about 3.4% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
DOVE BENEFITS INSURANCE SERVICES is the broker of record on all 7 contracts.
6 carriers appear on the filing, including BLUE CROSS OF CALIFORNIA, METROPOLITAN LIFE INSURANCE COMPANY, ANTHEM LIFE INSURANCE COMPANY and VISION SERVICE PLAN. BLUE CROSS OF CALIFORNIA writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health | 206 | Dec 1, 2025 | $2,366,348 | $73,289 |
| METROPOLITAN LIFE INSURANCE COMPANY | Disability | 173 | Dec 1, 2025 | $31,445 | $3,559 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 170 | Dec 1, 2025 | $83,736 | $3,370 |
| ANTHEM LIFE INSURANCE COMPANY | Life, Disability | 259 | Dec 1, 2025 | $62,557 | $2,903 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 52 | Dec 1, 2025 | $19,245 | $2,887 |
| VISION SERVICE PLAN | Vision | 158 | Dec 1, 2025 | $36,661 | $1,519 |
| ANTHEM BLUE CROSS OF CALIFORNIA | Dental | 85 | Dec 1, 2025 | $28,002 | $867 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 491 employees, 7 recordable cases, 4 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
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Renewal calendar
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