Form 5500 · Employee benefit plan · LOS ANGELES, CA
KOREATOWN YOUTH & COMMUNITY CENTER, INC.
The filing calls this plan KOREATOWN YOUTH & COMMUNITY CENTER, INC. HEALTH AND WELFARE BENEFITS PLAN.
KOREATOWN YOUTH & COMMUNITY CENTER, INC. of LOS ANGELES, CA spreads its employee benefits across 7 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is NAC INSURANCE ADMINISTRATION. Coverage is written through CALIFORNIACHOICE and 6 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-3779389 · plan 501 · plan year 2025, filed Aug 9, 2026
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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: death benefits.
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 CALIFORNIACHOICE, covers 144 people.
Reported premium across the insured contracts is $2,041,521, with $153,874 in disclosed broker commissions — about 7.5% of premium.
The health contract's policy period ended in November, while at least one ancillary line's policy period ended in July. The plan is on a split renewal cycle.
NAC INSURANCE ADMINISTRATION is the broker of record on all 7 contracts.
7 carriers appear on the filing, including CALIFORNIACHOICE, UNUM LIFE INSURANCE COMPANY OF AMERICA, PRINCIPAL LIFE INSURANCE COMPANY and AFLAC. CALIFORNIACHOICE writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CALIFORNIACHOICE | Health | 144 | Dec 1, 2025 | $1,427,188 | $71,360 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 1,988 | Aug 1, 2025 | $481,992 | $68,189 |
| AFLAC | Disability | 27 | Jan 1, 2025 | $22,551 | $6,431 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental | 82 | Dec 1, 2025 | $67,144 | $3,265 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Disability | 12 | Dec 1, 2025 | $10,844 | $1,804 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 142 | Dec 1, 2025 | $18,323 | $1,652 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 88 | Oct 1, 2025 | $13,479 | $1,173 |
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.
Other plans filed by this employer
How this plan compares
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