Form 5500 · Employee benefit plan · SIMI VALLEY, CA
P.W. GILLIBRAND CO., INC.
P.W. GILLIBRAND CO., INC. of SIMI VALLEY, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BB&H BENEFIT DESIGNS. Coverage is written through BLUE SHIELD OF CALIFORNIA and 7 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-1570382 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE SHIELD OF CALIFORNIA | Health | 185 | December | $157,534 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 186 | May | $16,401 |
| AMERITAS LIFE INSURANCE CORP. | Dental | 158 | December | $8,382 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 148 | May | $4,825 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE COMPA | Vision | 186 | December | $2,368 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 238 | May | $1,318 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | — | 56 | May | $420 |
| LIBERTY DENTAL PLAN OF CALIFORNIA, INC. | Dental | 71 | December | $0 |
Questions
Who is P.W. GILLIBRAND CO., INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, P.W. GILLIBRAND CO., INC.'s broker of record is BB&H BENEFIT DESIGNS.
What insurance carrier does P.W. GILLIBRAND CO., INC. use?
P.W. GILLIBRAND CO., INC.'s benefit plan is written through BLUE SHIELD OF CALIFORNIA, among 8 disclosed carriers.
When does P.W. GILLIBRAND CO., INC.'s group plan renew?
The most recent Schedule A policy period for P.W. GILLIBRAND CO., INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from P.W. GILLIBRAND CO., INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.