BenefitsLedger
Employer health plan record · Plan year 2025 (latest filing) · Form 5500

Pacifica 1775 LLC

Other services · San Diego, California · EIN ending 7796

Updated Filing received by DOL

Pacifica 1775 LLC, an other services employer in San Diego, California, reported 1,411 participants in its health and welfare plan for plan year 2025. Its Form 5500 shows 18 insurance contracts with no premium reported and $292,498 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on August 6, 2026, within the extension window.

Participants
1,411
−6.2% vs 2024
Premiums filed
none
premium not reported on 6 medical contracts
Broker commissions + fees
$292,498
+3.4% vs 2024
Commission rate
n/a
needs insured medical premium

Who was paid on Pacifica 1775 LLC's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Pacifica 1775 LLC filed for 2025.

Broker or agentCommissionsFeesTotalContracts
Verus Insurance Services, LLC · Granite Bay, CA$287,688$3,703$291,39118
Threeflow · Chicago, IL$1,107$0$1,1071

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2025, as published in EBSA's 2025 "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
Sharp Health Planhealth, vision, prescription drug, HMO249—$37,894—
The Lincoln National Life Insurance Companycoverage not coded135—$7,993—
The Lincoln National Life Insurance Companylife1,362—$4,547—
The Lincoln National Life Insurance Companylong-term disability239—$16,874—
Kaiser Foundation Health Plan Inc.health, prescription drug, HMO126—$27,330—
The Lincoln National Life Insurance Companycoverage not coded298—$9,138—
The Lincoln National Life Insurance Companycoverage not coded161—$12,895—
Allyhealth LLCcoverage not coded381—$4,719—
Eyemed Vision Carevision1,418—$13,310—
The Lincoln National Life Insurance Companydental, HMO110—$1,858—
The Lincoln National Life Insurance Companylife544—$4,857—
Health Plan of Nevadahealth, prescription drug, HMO17—$4,152—
The Lincoln National Life Insurance Companylife556—$30,371—
Kaiser Foundation Health Plan of the Northwesthealth, prescription drug, HMO8—$1,651—
Kaiser Foundation Health Plan Inc.health, prescription drug, HMO190—$41,286—
The Lincoln National Life Insurance Companyshort-term disability298—$16,026—
Mediexcel Health Planhealth, prescription drug, HMO83—$8,625—
The Lincoln National Life Insurance Companydental1,072—$48,972—

Source: DOL Form 5500 Schedule A, plan year 2025. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Pacifica 1775 LLC 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
Pacifica 1775 LLC
$292,498
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

$282,962$292,498Broker pay20242025
Pacifica 1775 LLC: premiums and broker commissions + fees, 2024 vs 2025
20242025Change
Participants1,5041,411−6.2%
Premiums filed$0$0not comparable
Broker commissions + fees$282,962$292,498+3.4%
Commission rate———

Source: DOL Form 5500 filings for plan years 2024 and 2025.

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
Pacifica 1775 LLC Welfare Benefits Plan#501 · insurance, general assetsDecember 31, 2025August 6, 2026within extension1,411

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 Pacifica 1775 LLC pay in health insurance broker commissions in 2025?

Pacifica 1775 LLC's 2025 Form 5500 reports $292,498 in broker commissions and fees across 18 insurance contracts ($288,795 in commissions, $3,703 in fees), with Verus Insurance Services, LLC receiving the largest share.

Is Pacifica 1775 LLC's health plan self-funded or fully insured?

The 2025 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Sharp Health Plan, Kaiser Foundation Health Plan Inc., Health Plan of Nevada.

How does Pacifica 1775 LLC's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Pacifica 1775 LLC because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 1,000-4,999 participants that disclosed broker pay reported a median of $168,579.

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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.