Form 5500 · Employee benefit plan · ANAHEIM, CA
PACIFIC SUNWEAR STORES LLC
Public Form 5500 records show how PACIFIC SUNWEAR STORES LLC (ANAHEIM, CA) structures its employee benefits. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 5 other carriers. The plan's most recent policy period ended in May.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0805792 · plan 513 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | — | 365 | May | $5,018 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 128 | May | $4,616 |
| TRIPLE S SALUD, INC. | Health | 11 | May | $2,938 |
| HAWAII MEDICAL ASSURANCE ASSOCIATION | Health | 7 | May | $896 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life, Disability | 1,112 | May | $838 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 110 | May | $0 |
Questions
Who is PACIFIC SUNWEAR STORES LLC's benefits broker?
Per its most recent Form 5500 Schedule A, PACIFIC SUNWEAR STORES LLC's broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does PACIFIC SUNWEAR STORES LLC use?
PACIFIC SUNWEAR STORES LLC's benefit plan is written through AETNA LIFE INSURANCE COMPANY, among 6 disclosed carriers.
When does PACIFIC SUNWEAR STORES LLC's group plan renew?
The most recent Schedule A policy period for PACIFIC SUNWEAR STORES LLC ended in May. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from PACIFIC SUNWEAR STORES LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.