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Form 5500 · Employee benefit plan · BURIEN, WA

ADA MOTORS, INC.

ADA MOTORS, INC. of BURIEN, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through REGENCE BLUESHIELD and 1 other carrier. The plan's most recent policy period ended in September.

Benefits broker of record
Insurance carrier
Plan renews
September

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1430800 · plan 501 · as of Jul 2026

Participants
109
Carriers on file
2
Disclosed commissions
$42,058
Renewal month
September

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
REGENCE BLUESHIELDHealth89September$33,412
UNITED OF OMAHA LIFE INSURANCE COMPANYDental, Vision, Life, Disability98September$8,646

Questions

Who is ADA MOTORS, INC.'s benefits broker?

Per its most recent Form 5500 Schedule A, ADA MOTORS, INC.'s broker of record is USI INSURANCE SERVICES LLC.

What insurance carrier does ADA MOTORS, INC. use?

ADA MOTORS, INC.'s benefit plan is written through REGENCE BLUESHIELD, among 2 disclosed carriers.

When does ADA MOTORS, INC.'s group plan renew?

The most recent Schedule A policy period for ADA MOTORS, INC. ended in September. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from ADA MOTORS, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.