BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

David & Esperanza Chavez FLP

Wholesale trade · Redwood City, California · EIN ending 5729 · doing business as Chavez Supermarkets

Updated Filing received by DOL

David & Esperanza Chavez FLP, a wholesale trade employer in Redwood City, California, reported 223 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 12 insurance contracts with no premium reported and $47,113 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on January 20, 2026, before the deadline.

Participants
223
+6.2% vs 2023
Premiums filed
none
premium not reported on 2 medical contracts
Broker commissions + fees
$47,113
−15.5% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on David & Esperanza Chavez FLP's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract David & Esperanza Chavez FLP filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Filice Insurance Agency · San Jose, CA$31,897$0$31,8973
Acrisure · San Jose, CA$15,207$0$15,2079
Nguyen Leanne Vo · Westminster, CA$9$0$91

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
American Heritage Life Insurance Companycoverage not coded6—$442—
American Heritage Life Insurance Companycoverage not coded1—$43—
American Heritage Life Insurance Companycoverage not coded1—$47—
American Heritage Life Insurance Companycoverage not coded1—$47—
American Heritage Life Insurance Companycoverage not coded3—$56—
Premier Access Insurance Companydental188—$9,929—
American Heritage Life Insurance Companycoverage not coded1—$16—
American Heritage Life Insurance Companycoverage not coded4—$167—
American Heritage Life Insurance Companycoverage not coded————
Kaiser Foundation Health Plan Inchealth, prescription drug, HMO69—$29,006—
Sutter Health Planhealth, prescription drug, HMO25—$7,360—
Fidelity Security Life Insurance Companyvision26———

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How David & Esperanza Chavez FLP compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
David & Esperanza Chavez FLP
$47,113
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$55,777$47,113Broker pay20232024
David & Esperanza Chavez FLP: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants210223+6.2%
Premiums filed$0$0not comparable
Broker commissions + fees$55,777$47,113−15.5%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Chavez Supermarkets Employee Benefit Plan#501 · insurance, general assetsJune 30, 2025January 20, 2026before deadline223

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did David & Esperanza Chavez FLP pay in health insurance broker commissions in 2024?

David & Esperanza Chavez FLP's 2024 Form 5500 reports $47,113 in broker commissions and fees across 12 insurance contracts ($47,113 in commissions, $0 in fees), with Filice Insurance Agency receiving the largest share.

Is David & Esperanza Chavez FLP's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Kaiser Foundation Health Plan Inc, Sutter Health Plan.

How does David & Esperanza Chavez FLP's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for David & Esperanza Chavez FLP because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.