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Form 5500 · Employee benefit plan · MUKILTEO, WA

BOARD OF TRUSTEES, WASHINGTON TECHNOLOGY INDUSTRY

The filing calls this plan WASHINGTON TECHNOLOGY INDUSTRY ASSOCIATION EMPLOYEE BENEFIT TRUST PLAN.

BOARD OF TRUSTEES, WASHINGTON TECHNOLOGY INDUSTRY of MUKILTEO, WA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is CONNEXION INSURANCE SOLUTIONS INC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 3 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-2563188 · plan 501 · plan year 2024, filed Oct 15, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

1,162 other employer plans in Washington have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Fully insured as reported

The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
4,794
Active at start of year
4,794
Active at end of year
4,649
Disclosed commissions
$29,298
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY1,288 of 4,794 participants (27%) on the largest contract
Dentalinsured — DELTA DENTAL OF WASHINGTON4,041 of 4,794 participants (84%)
Visioninsured — VISION SERVICE PLAN2,332 of 4,794 participants (49%)
Lifeinsured — METROPOLITAN LIFE INSURANCE COMPANY3,394 of 4,794 participants (71%)
Disabilityinsured — METROPOLITAN LIFE INSURANCE COMPANY3,394 of 4,794 participants (71%)

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 1,288 people.

Reported premium across the insured contracts is $29,529,076, with $29,298 in disclosed broker commissions — about 0.1% of premium.

The health contract's policy period ended in December, while at least one ancillary line's policy period ended in November. The plan is on a split renewal cycle.

CONNEXION INSURANCE SOLUTIONS INC is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including UNITEDHEALTHCARE INSURANCE COMPANY, DELTA DENTAL OF WASHINGTON, METROPOLITAN LIFE INSURANCE COMPANY and VISION SERVICE PLAN. UNITEDHEALTHCARE INSURANCE COMPANY writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
METROPOLITAN LIFE INSURANCE COMPANYLife, Disability3,394Jan 1, 2025$549,257$29,298
UNITEDHEALTHCARE INSURANCE COMPANYHealth1,288Jan 1, 2025$24,985,391$0
UNITEDHEALTHCARE INSURANCE COMPANYHealth3,985Jan 1, 2025$1,999,546$0
DELTA DENTAL OF WASHINGTONDental4,041Dec 1, 2024$1,763,794$0
VISION SERVICE PLANVision2,332Dec 1, 2024$231,088$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
BOARD OF TRUSTEES, WASHINGTON TECHNOLOGY INDUSTRY
EIN 20-2563188
HR BENEFITS, INC
Accounting and audit · Contract administrator · Recordkeeping and information management · EIN 81-3527701
$2,425,728
paid directly by the plan
WASHINGTION TECHNOLOGY IND ASSOC
Named on Schedule C · EIN 91-1427013
$729,849
paid directly by the plan
VIMLY BENEFIT SOLUTIONS, INC.
Accounting and audit · Contract administrator · Recordkeeping and information management · EIN 91-1603312
$0
paid directly by the plan
AIREY BENEFITS COMPANY, LLC
Named on Schedule C · EIN 85-1353330
$13,321
paid directly by the plan
ALLIANT INSURANCE SERVICES, INC
Named on Schedule C · EIN 33-0785439
$32,898
paid directly by the plan
ARMFIELD, HARRISON & THOMAS, INC.
Named on Schedule C · EIN 54-0654623
$84,581
paid directly by the plan
BELL-ANDERSON AGENCY, INC.
Named on Schedule C · EIN 91-0756278
$11,358
paid directly by the plan
BENEFIT DESIGN SERVICES, LLC
Named on Schedule C · EIN 27-3460566
$40,256
paid directly by the plan
BROWN & BROWN OF WASHINGTON INC.
Named on Schedule C · EIN 91-0378940
$52,155
paid directly by the plan
BTG AND ASSOCIATES, LLC DBA BTG BEN
Named on Schedule C · EIN 84-3131974
$53,873
paid directly by the plan
CLEARVIEW INSURANCE
Named on Schedule C · EIN 46-0598462
$10,102
paid directly by the plan
CLG EMPLOYER RESOURCES
Named on Schedule C · EIN 27-4743785
$5,855
paid directly by the plan
CUMMINGS FRASER & ASSOCIATES
Named on Schedule C · EIN 68-0609841
$59,867
paid directly by the plan
DIGITAL INSURANCE, INC.
Named on Schedule C · EIN 58-2522668
$106,174
paid directly by the plan
ESSENTIAL BENEFITS, LLC
Named on Schedule C · EIN 45-5125484
$8,280
paid directly by the plan
ETHIX NORTHWEST LLC DBA VINOBLE GRO
Named on Schedule C · EIN 13-4283589
$7,233
paid directly by the plan
GALLAGHER BENEFIT SERVICES, INC.
Named on Schedule C · EIN 36-4291971
$56,841
paid directly by the plan
GROUP BENEFITS LLC
Named on Schedule C · EIN 26-2229784
$50,733
paid directly by the plan
HUB INTERNATIONAL NORTHWEST LLC
Named on Schedule C · EIN 91-2036015
$141,133
paid directly by the plan
IDEAL BENEFIT SOLUTIONS, LLC
Named on Schedule C · EIN 82-5190827
$8,421
paid directly by the plan
J. JOHNSON INSURANCE, LLC
Named on Schedule C · EIN 38-3744088
$24,234
paid directly by the plan
JW BYRNES INSURANCE LLC
Named on Schedule C · EIN 27-3008983
$9,501
paid directly by the plan
LUCAS BENEFITS GROUP LLC
Named on Schedule C · EIN 84-1862787
$40,679
paid directly by the plan
MADDOCK & ASSOCIATES LLC
Named on Schedule C · EIN 83-2655931
$84,626
paid directly by the plan
MATHEW D WYATT INS AGENCY INC
Named on Schedule C · EIN 91-1892697
$10,341
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$2,639,217
Paid out in benefits
$29,654,506
Independent accountantEIN 95-2036255
MILLER KAPLAN ARASE LLP
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$30,500

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

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Renewal calendar

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