Form 5500 · Employee benefit plan · LOS ANGELES, CA
ONE TABLE RESTAURANT OPERATIONS LLC
ONE TABLE RESTAURANT OPERATIONS LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is BURNHAM BENEFITS INSURANCE SERVICES. Coverage is written through BLUE CROSS OF CALIFORNIA and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 87-1677280 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health | 193 | December | $53,070 |
| UNITED CONCORDIA INSURANCE COMPANY | Dental | 170 | December | $7,934 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 102 | December | $1,902 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 206 | December | $1,484 |
| UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | Dental | 52 | December | $992 |
| VISION SERVICE PLAN | Vision | 143 | November | $966 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 86 | December | $197 |
Questions
Who is ONE TABLE RESTAURANT OPERATIONS LLC's benefits broker?
Per its most recent Form 5500 Schedule A, ONE TABLE RESTAURANT OPERATIONS LLC's broker of record is BURNHAM BENEFITS INSURANCE SERVICES.
What insurance carrier does ONE TABLE RESTAURANT OPERATIONS LLC use?
ONE TABLE RESTAURANT OPERATIONS LLC's benefit plan is written through BLUE CROSS OF CALIFORNIA, among 7 disclosed carriers.
When does ONE TABLE RESTAURANT OPERATIONS LLC's group plan renew?
The most recent Schedule A policy period for ONE TABLE RESTAURANT OPERATIONS LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from ONE TABLE RESTAURANT OPERATIONS LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.