Form 5500 · Employee benefit plan · LOS ANGELES, CA
NVE EXPERIENCE AGENCY
The filing calls this plan NVE EXPERIENCE AGENCY HEALTH AND WELFARE PLAN.
NVE EXPERIENCE AGENCY of LOS ANGELES, CA is a 144-participant administrative and support services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is FOUNDATION RISK PARTNERS CORP. Coverage is written through CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) and 1 other carrier. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-1581976 · plan 501 · plan year 2025, filed Aug 13, 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
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.
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 2 insured contracts covering health, dental and vision; the largest, with CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA), covers 170 people.
Reported premium across the insured contracts is $474,736, with $96,912 in disclosed broker commissions — about 20% of premium.
The most recent policy period ended in November, and the plan year ends November 30. Group contracts typically renew on that annual cycle.
FOUNDATION RISK PARTNERS CORP is the broker of record on all 2 contracts.
Two carriers split the book: CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) and HUMANA INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CALIFORNIA PHYSICIANS' SERVICE (BLUE SHIELD OF CALIFORNIA) | Health | 170 | Dec 1, 2025 | $387,070 | $92,514 |
| HUMANA INSURANCE COMPANY | Dental, Vision | 112 | Dec 1, 2025 | $87,666 | $4,398 |
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.
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