Form 5500 · Employee benefit plan · MCCLELLAN, CA
PACIFIC WEST SITE SERVICES, INC.
PACIFIC WEST SITE SERVICES, INC. of MCCLELLAN, CA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 10 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1816515 · plan 505 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 184 | December | $4,531,140 | $241,824 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 167 | December | $875,167 | $23,969 |
| DELTA DENTAL OF CALIFORNIA | Dental | 717 | December | $331,601 | $16,580 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 234 | December | $260,800 | $14,536 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 8 | December | $49,225 | $2,534 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 543 | December | $43,395 | $2,145 |
| METLIFE LEGAL PLANS | — | 51 | August | $8,019 | $814 |
| METROPOLITAN GENERAL INSURANCE COMPANY | — | 49 | December | $3,980 | $394 |
| PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | Life | 15 | December | $8,199 | $294 |
| FIRST UNUM LIFE INSURANCE COMPANY | Life | 1 | December | $36 | $1 |
| UNITED BEHAVIORAL HEALTH DBA OPTUM | — | 401 | December | $4,912 | $0 |
Questions
Who is PACIFIC WEST SITE SERVICES, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, PACIFIC WEST SITE SERVICES, INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does PACIFIC WEST SITE SERVICES, INC. use?
PACIFIC WEST SITE SERVICES, INC.'s benefit plan is written through UNITEDHEALTHCARE INSURANCE COMPANY, among 11 disclosed carriers.
When does PACIFIC WEST SITE SERVICES, INC.'s group plan renew?
The most recent Schedule A policy period for PACIFIC WEST SITE SERVICES, 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 WEST SITE SERVICES, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.