Form 5500 · Employee benefit plan · CYPRESS, CA
EXEMPLIS LLC
EXEMPLIS LLC of CYPRESS, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY and 12 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0697684 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 183 | December | $7,071 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 49 | December | $3,917 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 86 | December | $3,171 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 111 | December | $3,101 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 145 | December | $1,416 |
| AETNA HEALTH, INC. | Health | 469 | December | $0 |
| DELTA DENTAL OF CALIFORNIA | Dental | 542 | December | $0 |
| AETNA LIFE INSURANCE COMPANY | Health, Vision | 685 | December | $0 |
| DELTA DENTAL OF CALIFORNIA | Dental | 143 | December | $0 |
| LEGALEASE | — | 52 | December | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 557 | December | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 557 | December | $0 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 557 | December | $0 |
Questions
Who is EXEMPLIS LLC's benefits broker?
Per its most recent Form 5500 Schedule A, EXEMPLIS LLC's broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does EXEMPLIS LLC use?
EXEMPLIS LLC's benefit plan is written through RELIANCE STANDARD LIFE INSURANCE COMPANY, among 13 disclosed carriers.
When does EXEMPLIS LLC's group plan renew?
The most recent Schedule A policy period for EXEMPLIS LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from EXEMPLIS LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.