Form 5500 · Employee benefit plan · GARDENA, CA
THE BLACK TUX, LLC
THE BLACK TUX, LLC's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is SEQUOIA BENEFITS, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN INC and 1 other carrier. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 99-0451243 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN INC | Health | 53 | October | $23,429 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 308 | October | $14,876 |
Questions
Who is THE BLACK TUX, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, THE BLACK TUX, LLC's broker of record is SEQUOIA BENEFITS, LLC.
What insurance carrier does THE BLACK TUX, LLC use?
THE BLACK TUX, LLC's benefit plan is written through KAISER FOUNDATION HEALTH PLAN INC, among 2 disclosed carriers.
When does THE BLACK TUX, LLC's group plan renew?
The most recent Schedule A policy period for THE BLACK TUX, LLC ended in October. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from THE BLACK TUX, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.