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Form 5500 · Employee benefit plan · SOUTH GATE, CA

GLASSWERKS LA, INC.

The filing calls this plan GLASSWERKS LA, INC. BENEFIT PLAN.

Public Form 5500 records show how GLASSWERKS LA, INC. of SOUTH GATE, CA, a manufacturing employer, structures its employee benefits. Its broker of record is PCF INSURANCE SERVICES OF THE WEST. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in May.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-2856269 · plan 501 · plan year 2025, filed Nov 13, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

323 other employer plans in California have policy years ending in May. 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.

All participants at the start of the year
343
Active at start of year
343
Active at end of year
343
Disclosed commissions
$177,725
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY659 of 343 participants on the largest contract
Dentaldeclared, no contract here says it covers this
Visionnot declared on this filing
Lifedeclared, no contract here says it covers this
Disabilitynot declared on this filing

5 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

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

All 8 insured contracts are health coverage, split across UNITEDHEALTHCARE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC. and COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and others.

The filing declares health, dental and life. Dental and life appear with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 5 contracts here that do not say what they cover.

Reported premium across the insured contracts is $3,196,759, with $177,725 in disclosed broker commissions — about 5.6% of premium.

The health contract's policy period ended in May, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.

PCF INSURANCE SERVICES OF THE WEST is the broker of record on 4 of the 8 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITEDHEALTHCARE INSURANCE COMPANYHealth659Jun 1, 2025$1,795,339$91,534
KAISER FOUNDATION HEALTH PLAN, INC.Health139Jun 1, 2025$1,103,061$42,187
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—155Jan 1, 2025$164,503$26,127
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—35Mar 1, 2025$60,940$8,391
SYMETRA LIFE INSURANCE COMPANY—317Jun 1, 2025$41,146$6,111
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—23Jan 1, 2025$27,533$2,970
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY—7Jan 1, 2025$4,237$405
BLUE CROSS BLUE SHIELD OF ARIZONAHealth0Jul 1, 2024—$0

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
GLASSWERKS LA, INC.
EIN 95-2856269

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

Other plans filed by this employer

How this plan compares

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Renewal calendar

323 other employer plans in California are June 1 renewals (policy year ends May).

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