Form 5500 · Employee benefit plan · PACOIMA, CA
FORMA BRANDS, LLC
FORMA BRANDS, LLC of PACOIMA, 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 CIGNA HEALTH AND LIFE INSURANCE COMPANY and 8 other carriers. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 92-2190793 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 103 | February | $51,330 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Vision, Life, Disability | 286 | February | $32,299 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 73 | February | $16,820 |
| KAISER FOUNDATION HEALTH PLAN INC | Health | 23 | February | $8,932 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 29 | February | $4,314 |
| METROPOLITAN LIFE INSURANCE COMPANY | — | 40 | February | $4,071 |
| SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | Dental | 45 | February | $463 |
| SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | Dental | 6 | February | $64 |
| SAFEGUARD HEALTH PLANS, INC., A FLORIDA CORPORATION | Dental | 0 | February | $4 |
Questions
Who is FORMA BRANDS, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, FORMA BRANDS, LLC's broker of record is MERCER HEALTH AND BENEFITS, LLC.
What insurance carrier does FORMA BRANDS, LLC use?
FORMA BRANDS, LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY, among 9 disclosed carriers.
When does FORMA BRANDS, LLC's group plan renew?
The most recent Schedule A policy period for FORMA BRANDS, LLC ended in February. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FORMA BRANDS, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.