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Form 5500 · Employee benefit plan · RIVERSIDE, CA

PACIFIC CONSOLIDATED INDUSTRIES

The filing calls this plan PACIFIC CONSOLIDATED INDUSTRIES WELFARE BENEFITS PLAN.

PACIFIC CONSOLIDATED INDUSTRIES of RIVERSIDE, CA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is ALLIANT INSURANCE SERVICES, INC.. Coverage is written through CALIFORNIA PHYSICIANS SERVICE and 6 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-0180043 · plan 503 · plan year 2025, filed Jun 30, 2026

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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.

All participants at the start of the year
106
Active at start of year
106
Active at end of year
103
Disclosed commissions
$24,860
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — CALIFORNIA PHYSICIANS SERVICE175 of 106 participants on the largest contract
Dentalinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY53 of 106 participants (50%) on the largest contract
Visioninsured — VISION SERVICE PLAN81 of 106 participants (76%)
Lifeinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY91 of 106 participants (86%) on the largest contract
Disabilityinsured — AFLAC24 of 106 participants (23%) on the largest contract

Also declared: 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.

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 12 insured contracts covering health, dental, vision, life and disability; the largest, with CALIFORNIA PHYSICIANS SERVICE, covers 175 people.

Reported premium across the insured contracts is $1,430,547, with $24,860 in disclosed broker commissions — about 1.7% of premium.

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

ALLIANT INSURANCE SERVICES, INC. is the broker of record on 11 of the 12 contracts; the rest name a different broker or none.

7 carriers appear on the filing, including CALIFORNIA PHYSICIANS SERVICE, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, AFLAC and VISION SERVICE PLAN. CALIFORNIA PHYSICIANS SERVICE writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDental53Jan 1, 2026$95,458$9,546
AFLACDisability24Jan 1, 2026$24,350$4,075
VISION SERVICE PLANVision81Jan 1, 2026$17,350$2,459
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife91Jan 1, 2026$20,625$2,063
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife37Jan 1, 2026$19,345$1,934
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability92Jan 1, 2026$19,005$1,900
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYHealth, Dental34Jan 1, 2026$13,791$1,379
TELADOC HEALTH, INC.Health142Jan 1, 2026$5,888$883
AETNA INTERNATIONAL—28Jan 1, 2026$2,658$266
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYLife29Jan 1, 2026$1,998$200
HOLMAN PROFESSIONAL COUNSELING CENTERS—76Jan 1, 2026$3,101$155
CALIFORNIA PHYSICIANS SERVICEHealth175Jan 1, 2026$1,206,978$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
PACIFIC CONSOLIDATED INDUSTRIES
EIN 20-0180043

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

Other plans filed by this employer

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