Form 5500 · Employee benefit plan · SAN DIEGO, CA
PRICESMART, INC.
The filing calls this plan PRICESMART, INC. WELFARE BENEFIT PLAN.
PRICESMART, INC. of SAN DIEGO, CA spreads its employee benefits across 7 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through AETNA HEALTH, INC. and 6 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 33-0628530 · plan 501 · plan year 2025, filed Apr 23, 2026
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314 other employer plans in California have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
Benefits declared on this filing
Also declared: death benefits, 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 10 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA HEALTH, INC., covers 553 people.
Reported premium across the insured contracts is $10,045,363, with $312,538 in disclosed broker commissions — about 3.1% of premium.
The health contract's policy period ended in September, while at least one ancillary line's policy period ended in November. The plan is on a split renewal cycle.
MERCER HEALTH AND BENEFITS, LLC is the broker of record on 6 of the 10 contracts; the rest name a different broker or none.
7 carriers appear on the filing, including AETNA HEALTH, INC., AETNA LIFE INSURANCE COMPANY, KAISER FOUNDATION HEALTH PLAN, INC. and UNUM LIFE INSURANCE COMPANY OF AMERICA. AETNA HEALTH, INC. writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA HEALTH, INC. | Health | 553 | Oct 1, 2025 | $5,317,016 | $133,148 |
| AETNA LIFE INSURANCE COMPANY | Health, Dental, Vision | 963 | Oct 1, 2025 | $3,252,182 | $99,568 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 150 | Oct 1, 2025 | $983,972 | $26,388 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 424 | Oct 1, 2025 | $228,648 | $22,865 |
| AETNA LIFE INSURANCE COMPANY | — | 207 | Oct 1, 2025 | $65,479 | $12,984 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 440 | Oct 1, 2025 | $127,802 | $12,780 |
| AETNA LIFE INSURANCE COMPANY | — | 10 | Dec 1, 2024 | $60,544 | $4,805 |
| AETNA BEHAVIORAL HEALTH, LLC | — | 237 | Oct 1, 2025 | $5,230 | $0 |
| HEALTH AND HUMAN RESOURCE CENTER | — | 210 | Oct 1, 2025 | $4,490 | $0 |
| ACE AMERICAN INSURANCE COMPANY | — | 424 | Sep 1, 2025 | — | $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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 200 employees, 0 recordable cases, 0 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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