Form 5500 · Employee benefit plan · LOS ANGELES, CA
LOS ANGELES DODGERS
The filing calls this plan LOS ANGELES DODGERS EMPLOYEE BENEFITS PLAN.
Public Form 5500 records show how LOS ANGELES DODGERS of LOS ANGELES, CA, a arts, entertainment and recreation employer, structures its employee benefits. Its broker of record is ASSOCIATED AGENCIES, INC. Coverage is written through BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0343133 · plan 501 · plan year 2025, filed Jul 28, 2026
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5,257 other employer plans in California have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Self-funded as reported
The filing reports a stop-loss contract and no medical premium, which is what a plan that pays its own claims reports.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
3 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
Schedule A lists 11 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY, covers 921 people.
The filing declares dental, vision, life, disability and health. Health appears 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 3 contracts here that do not say what they cover.
The only insured piece of the health benefit is stop-loss coverage, and the filing reports the plan paying its own claims. The stop-loss contract reports $1,182,936 in premium and $169,577 in commission. The rest of the premium and commission above is on the plan's other insured lines, and none of it is medical premium.
Reported premium across the insured contracts is $2,139,275, with $299,785 in disclosed broker commissions — about 14% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | Stop-loss | 921 | Jan 1, 2026 | $1,182,936 | $169,577 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 461 | Jan 1, 2026 | $530,627 | $79,594 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 569 | Jan 1, 2026 | $208,155 | $26,058 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 105 | Jan 1, 2026 | $58,559 | $7,455 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 67 | Jan 1, 2026 | $26,234 | $4,445 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 58 | Jan 1, 2026 | $21,921 | $3,714 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 146 | Jan 1, 2026 | $20,386 | $3,058 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | 108 | Jan 1, 2026 | $16,865 | $2,861 |
| VISION SERVICE PLAN | Vision | 415 | Jan 1, 2026 | $61,479 | $1,440 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Disability | 22 | Jan 1, 2026 | $9,134 | $1,136 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 152 | Jan 1, 2026 | $2,979 | $447 |
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
Named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 2,193 employees, 42 recordable cases, 122 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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