Form 5500 · Employee benefit plan · SIMI VALLEY, CA
PACIFIC ONESOURCE, INC.
PACIFIC ONESOURCE, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is NIELSEN INSURANCE GROUP, INC.. Coverage is written through BLUE CROSS OF CALIFORNIA and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 26-4053225 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| BLUE CROSS OF CALIFORNIA | Health, Vision | 122 | December | $46,564 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Life, Disability | 147 | December | $13,486 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 13 | December | $7,791 |
Questions
Who is PACIFIC ONESOURCE, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PACIFIC ONESOURCE, INC.'s broker of record is NIELSEN INSURANCE GROUP, INC..
What insurance carrier does PACIFIC ONESOURCE, INC. use?
PACIFIC ONESOURCE, INC.'s benefit plan is written through BLUE CROSS OF CALIFORNIA, among 3 disclosed carriers.
When does PACIFIC ONESOURCE, INC.'s group plan renew?
The most recent Schedule A policy period for PACIFIC ONESOURCE, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PACIFIC ONESOURCE, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.