Form 5500 · Employee benefit plan · AGOURA HILLS, CA
STONEFIRE GRILL, INC.
The filing calls this plan STONFIRE GRILL, INC. HEALTH AND WELFARE PLAN.
STONEFIRE GRILL, INC. of AGOURA HILLS, CA is a 256-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL NORTHEAST LIMITED. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 27-0110509 · plan 501 · plan year 2024, filed Mar 11, 2025
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281 other employer plans in California have policy years ending in August. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 269 people.
Reported premium across the insured contracts is $237,285, with $11,745 in disclosed broker commissions — about 4.9% of premium.
The most recent policy period ended in August, and the plan year ends May 31. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL NORTHEAST LIMITED is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
Two carriers split the book: UNITEDHEALTHCARE INSURANCE COMPANY and UNUM LIFE INSURANCE COMPANY OF AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 269 | Sep 1, 2023 | $225,134 | $11,435 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Life | 109 | Sep 1, 2023 | $1,551 | $310 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 114 | Sep 1, 2023 | $10,600 | $0 |
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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Renewal calendar
281 other employer plans in California are September 1 renewals (policy year ends August).
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