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Form 5500 · Employee benefit plan · LA JOLLA, CA

WESTERN STATES ASSET MANAGEMENT, INC.

The filing calls this plan GAINES INVESTMENT TRUST WELFARE BENEFITS PLAN.

WESTERN STATES ASSET MANAGEMENT, INC. of LA JOLLA, CA is a 162-participant real estate employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL INS SVCS INC. Coverage is written through METROPOLITAN LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in May.

Benefits broker of record
Policy year ends
Mayas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 95-3899031 · plan 501 · plan year 2025, filed Feb 17, 2026

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How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
162
Active at start of year
162
Active at end of year
107
Disclosed commissions
$25,425
Typical renewal
June 1

Benefits declared on this filing

Healthinsured — ARMADACARE5 of 162 participants (3.1%)
Dentalinsured — METROPOLITAN LIFE INSURANCE COMPANY260 of 162 participants
Visioninsured — METROPOLITAN LIFE INSURANCE COMPANY260 of 162 participants
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY260 of 162 participants
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY260 of 162 participants

Health: ARMADACARE covers 5 of 162 participants (3.1%) on Schedule A.

Also declared: death benefits, 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.

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 6 insured contracts covering health, dental, vision, life and disability; the largest, with METROPOLITAN LIFE INSURANCE COMPANY, covers 260 people.

Reported premium across the insured contracts is $220,644, with $25,425 in disclosed broker commissions — about 12% of premium.

The most recent policy period ended in May, and the plan year ends May 31. Group contracts typically renew on that annual cycle.

HUB INTERNATIONAL INS SVCS INC is the broker of record on 4 of the 6 contracts; the rest name a different broker or none.

3 carriers appear on the filing, including METROPOLITAN LIFE INSURANCE COMPANY, ARMADACARE and METROPOLITAN FAMILY SERVICES. METROPOLITAN LIFE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYDental, Vision, Life, Disability260Jun 1, 2025$120,730$16,133
METROPOLITAN LIFE INSURANCE COMPANY—67Jun 1, 2025$7,588$2,831
METROPOLITAN LIFE INSURANCE COMPANY—37Jun 1, 2025$7,386$2,684
METROPOLITAN LIFE INSURANCE COMPANY—33Jun 1, 2025$5,670$2,277
ARMADACAREHealth5Jun 1, 2025$76,984$1,500
METROPOLITAN FAMILY SERVICES—202Jun 1, 2025$2,286$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
WESTERN STATES ASSET MANAGEMENT, INC.
EIN 95-3899031

The plan administrator is from line 3a of the main form. We publish company names only.

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