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Sponsor portfolioWelfare / HealthEIN 92-2190793
FORMA BRANDS, LLC
10303 NORRIS AVENUE · PACOIMA, CA 91331
4159572126
- Plans filed
- 1
- Years active
- 2022–2024
- Industry
- NAICS 44
- Latest filing
- 2024
Total premiums (latest)
$2.3M
No prior year
Persons covered
286
No prior year
Total participants
258
No prior year
Plans filed
1
No prior year
Plans under this sponsor
1 plan
Coverage overview
Aggregate, latest year
| Benefit type | Premium | Share | Distribution |
|---|---|---|---|
| Health | $2.0M | 34.8% | |
| Prescription drug | $2.0M | 34.8% | |
| Dental | $292K | 5.1% | |
| Other | $289K | 5.1% | |
| Vision | $287K | 5.1% | |
| Life | $287K | 5.1% | |
| Short-term disability | $287K | 5.1% | |
| Long-term disability | $287K | 5.1% |
Carrier overview
4 carriers · all plans
| Carrier | Coverage | Total premium | Share | Plans | Contracts | Covered |
|---|---|---|---|---|---|---|
EIN 591031071 | HRx | $1.3M | 56.5% | 1 | 1 | 103 |
EIN 941340523 | HRx | $692K | 30.5% | 1 | 2 | 73 |
EIN 135581829 | DVLSTDLTDOth | $289K | 12.8% | 1 | 3 | 286 |
EIN 952879515 | D | $5K | 0.2% | 1 | 3 | 45 |
Broker overview
1 broker · all plans
| Broker | Loc | Carriers | Commissions | Fees | Total comp | Share | Plans |
|---|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC | CHICAGO, IL | KAISER FOUNDATION HEALTH PLAN INC, METROPOLITAN LIFE INSURANCE COMPANY, SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION, CIGNA HEALTH AND LIFE INSURANCE COMPANY, SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $118K | $6K | $124K | 100.0% | 1 |
History & trajectory
3 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