Form 5500 · Employee benefit plan · BEVERLY HILLS, CA
MAYBOURNE BEVERLY HILLS OPERATOR, LLC
MAYBOURNE BEVERLY HILLS OPERATOR, LLC of BEVERLY HILLS, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is WILLIS TOWERS WATSON NORTHEAST, INC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-5001293 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 567 | December | $190,221 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 420 | December | $12,321 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 463 | December | $3,813 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 508 | December | $2,813 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 78 | December | $2,338 |
| SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | Dental | 462 | December | $2,181 |
| VISION SERVICE PLAN | Vision | 375 | December | $2,120 |
| METROPOLITAN LIFE INSURANCE COMPANY | Health | 97 | December | $1,689 |
Questions
Who is MAYBOURNE BEVERLY HILLS OPERATOR, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, MAYBOURNE BEVERLY HILLS OPERATOR, LLC's broker of record is WILLIS TOWERS WATSON NORTHEAST, INC.
What insurance carrier does MAYBOURNE BEVERLY HILLS OPERATOR, LLC use?
MAYBOURNE BEVERLY HILLS OPERATOR, LLC's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 8 disclosed carriers.
When does MAYBOURNE BEVERLY HILLS OPERATOR, LLC's group plan renew?
The most recent Schedule A policy period for MAYBOURNE BEVERLY HILLS OPERATOR, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from MAYBOURNE BEVERLY HILLS OPERATOR, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.