Form 5500 · Employee benefit plan · CONCORD, CA
PACIFIC STATES PETROLEUM
PACIFIC STATES PETROLEUM of CONCORD, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is INTERWEST INSURANCE SERVICES, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN, INC. and 1 other carrier. The plan's most recent policy period ended in April.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 38-3646048 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 319 | April | $130,157 |
| SUN LIFE ASSURANCE COMPANY OF CANADA | Dental, Vision, Life, Disability | 199 | April | $28,046 |
Questions
Who is PACIFIC STATES PETROLEUM's benefits broker?
Per its most recent Form 5500 Schedule A, PACIFIC STATES PETROLEUM's broker of record is INTERWEST INSURANCE SERVICES, LLC.
What insurance carrier does PACIFIC STATES PETROLEUM use?
PACIFIC STATES PETROLEUM's benefit plan is written through KAISER FOUNDATION HEALTH PLAN, INC., among 2 disclosed carriers.
When does PACIFIC STATES PETROLEUM's group plan renew?
The most recent Schedule A policy period for PACIFIC STATES PETROLEUM ended in April. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PACIFIC STATES PETROLEUM's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.