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

Medic Ambulance Service Inc

Healthcare & social assistance · Fairfield, California · EIN ending 5852

Updated Filing received by DOL

Medic Ambulance Service Inc, a healthcare & social assistance employer in Fairfield, California, reported 265 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 7 insurance contracts with no premium reported and $215,274 in broker commissions and fees. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on May 27, 2026, before the deadline.

Participants
265
+0.0% vs 2023
Premiums filed
none
premium not reported on 3 medical contracts
Broker commissions + fees
$215,274
+55.6% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Medic Ambulance Service Inc's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Medic Ambulance Service Inc filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Tami Jo Schreiner · Benicia, CA$154,339$0$154,3393
Gavin & Schreiner Insurance · Benicia, CA$34,631$0$34,6314
Warner Pacific Ins Services · Westlake Village, CA$26,304$0$26,3042

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
Western Health Advantagehealth, prescription drug, HMO30—$12,871—
Vision Service Planvision280—$1,557—
Reliance Standard Life Insurance Companylife425—$2,169—
Reliance Standard Life Insurance Companylong-term disability424—$4,704—
Kaiser Foundation Health Plan, Inc.health321—$154,042—
Guardian Life Insurance Company of Americadental299—$21,322—
Sutter Health Planhealth, prescription drug, HMO56—$18,609—

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 Medic Ambulance Service Inc 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
Medic Ambulance Service Inc
$215,274
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

$138,312$215,274Broker pay20232024
Medic Ambulance Service Inc: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants265265+0.0%
Premiums filed$0$0not comparable
Broker commissions + fees$138,312$215,274+55.6%
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
Medic Ambulance Health and Welfare Benefit Plan#501 · insuranceNovember 30, 2025May 27, 2026before deadline265

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 Medic Ambulance Service Inc pay in health insurance broker commissions in 2024?

Medic Ambulance Service Inc's 2024 Form 5500 reports $215,274 in broker commissions and fees across 7 insurance contracts ($215,274 in commissions, $0 in fees), with Tami Jo Schreiner receiving the largest share.

Is Medic Ambulance Service Inc's health plan self-funded or fully insured?

The 2024 filing indicates the plan is fully insured (an insurance carrier pays claims). Medical coverage is written by Western Health Advantage, Kaiser Foundation Health Plan, Inc., Sutter Health Plan.

How does Medic Ambulance Service Inc's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Medic Ambulance Service Inc 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.