Form 5500 · Employee benefit plan · LOS ANGELES, CA
JAMISON SERVICES INC
The filing calls this plan JAMISON SERVICES INC WELFARE BENEFIT PLAN.
JAMISON SERVICES INC of LOS ANGELES, CA insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is WARNER PACIFIC INSURANCE SVC, INC.. Coverage is written through CALIFORNIA PHYSICIANS SERVICE and 2 other carriers. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 57-1143223 · plan 501 · plan year 2025, filed Oct 24, 2025
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
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 4 insured contracts covering health, dental, vision and life; the largest, with CALIFORNIA PHYSICIANS SERVICE, covers 177 people.
Reported premium across the insured contracts is $1,238,369, with $24,663 in disclosed broker commissions — about 2% of premium.
The most recent policy period ended in April, and the plan year ends April 30. Group contracts typically renew on that annual cycle.
WARNER PACIFIC INSURANCE SVC, INC. is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including CALIFORNIA PHYSICIANS SERVICE, UNITED OF OMAHA LIFE INSURANCE COMPANY and BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY. CALIFORNIA PHYSICIANS SERVICE writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CALIFORNIA PHYSICIANS SERVICE | Health, Dental, Vision | 177 | May 1, 2025 | $1,224,604 | $23,286 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 148 | May 1, 2025 | $8,076 | $808 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 31 | May 1, 2025 | $5,041 | $504 |
| BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | Life | 122 | May 1, 2025 | $648 | $65 |
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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