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

P.W. Gillibrand Co., Inc.

Mining, oil & gas · Simi Valley, California · EIN ending 0382

Updated Filing received by DOL

P.W. Gillibrand Co., Inc., a mining, oil & gas employer in Simi Valley, California, reported 181 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows 8 insurance contracts with no premium reported and $194,210 in broker commissions and fees. The plan is fully insured (an insurance carrier pays claims). The Department of Labor received the filing on September 22, 2025, within the extension window.

Participants
181
+0.0% vs 2023
Premiums filed
none
premium not reported on 1 medical contract
Broker commissions + fees
$194,210
+33.3% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on P.W. Gillibrand Co., 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 P.W. Gillibrand Co., Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Bb&H Benefit Designs · Santa Barbara, CA$191,248$2,962$194,2108

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
Blue Shield of Californiahealth, prescription drug, HMO, PPO185—$157,673—
Ameritas Life Insurance Corp.dental158—$8,382—
Eyemed Vision Care on Behalf of Fidelity Security Life Insurance Compavision186—$2,368—
Liberty Dental Plan of California, Inc.dental, HMO71———
Reliance Standard Life Insurance Companylife186—$18,595—
Reliance Standard Life Insurance Companycoverage not coded238—$1,318—
Reliance Standard Life Insurance Companylong-term disability148—$5,454—
Reliance Standard Life Insurance Companyshort-term disability56—$420—

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 P.W. Gillibrand Co., 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
P.W. Gillibrand Co., Inc.
$194,210
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

$145,716$194,210Broker pay20232024
P.W. Gillibrand Co., Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants181181+0.0%
Premiums filed$0$0not comparable
Broker commissions + fees$145,716$194,210+33.3%
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
P.W. Gillibrand Group Health Plan#501 · insuranceDecember 31, 2024September 22, 2025within extension181

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 P.W. Gillibrand Co., Inc. pay in health insurance broker commissions in 2024?

P.W. Gillibrand Co., Inc.'s 2024 Form 5500 reports $194,210 in broker commissions and fees across 8 insurance contracts ($191,248 in commissions, $2,962 in fees), with Bb&H Benefit Designs receiving the largest share.

Is P.W. Gillibrand Co., 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 Blue Shield of California.

How does P.W. Gillibrand Co., Inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for P.W. Gillibrand Co., Inc. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 100-199 participants that disclosed broker pay reported a median of $53,852.

Get the full write-up

Send the full findings to your inbox.

A specialist writes up every finding for P.W. Gillibrand Co., Inc. with the methodology and public-source citations, in a form you can forward to your CFO or counsel. Tick the box if you also want a 15-minute walkthrough call.

We don't sell your email. By submitting, you agree that BenefitsLedger and its benefits advisory partner, WellthCare, may email or call you about these findings. Opt out anytime by replying. See our privacy policy.

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.