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Sponsor portfolioWelfare / HealthEIN 83-1415331

BLACK ROCK COFFEE HOLDINGS, LLC

d/b/a BLACK ROCK COFFEE BAR, BLACK ROCK ROASTING COMPANY
9170 EAST BAHIA DRIVE, SUITE 101 · SCOTTSDALE, AZ 85260
5037071256
Plans filed
1
Years active
2021–2025
Industry
NAICS 56
Latest filing
2025
Total premiums (latest)
$1.6M
No prior year
Persons covered
544
No prior year
Total participants
544
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #501$1.6M
BLACK ROCK COFFEE HOLDINGS, LLC HEALTH & WELFARE PLAN
Fully insured544 covered·3 carriers
Primary: REGENCE BLUECROSS BLUESHIELD OF OREGON

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Health$1.4M31.4%
Vision$1.4M31.4%
Prescription drug$1.4M31.4%
Dental$133K3.0%
Life$43K1.0%
Long-term disability$43K1.0%
Other$43K1.0%

Carrier overview

3 carriers · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
BLUE CROSS OF CALIFORNIA
EIN 930238155
HRxV
$1.4M88.8%11288
DELTA DENTAL OF CALIFORNIA
EIN 930438772
D
$133K8.5%11302
USABLE LIFE
EIN 710505232
LLTDOth
$43K2.7%11544

Broker overview

1 broker · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
USI INSURANCE SERVICES LLCSEATTLE, WAREGENCE BLUECROSS BLUESHIELD OF OREGON, USABLE LIFE, OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON$67K$132$68K100.0%1

History & trajectory

5 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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