Form 5500 · Employee benefit plan · SEABECK, WA
CASCADE SENIOR LIVING SERVICES
The filing calls this plan CASCADE SENIOR LIVING SERVICES EMPLOYEE BENEFIT PLAN.
CASCADE SENIOR LIVING SERVICES of SEABECK, WA is a 185-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ETHIX NORTHWEST LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 81-3753250 · plan 501 · plan year 2025, filed Jan 29, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits, 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 4 insured contracts covering health, dental, vision and life; the largest, with KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, covers 125 people.
Reported premium across the insured contracts is $920,656, with $56,342 in disclosed broker commissions — about 6.1% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
ETHIX NORTHWEST LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, PRINCIPAL LIFE INSURANCE COMPANY, WILLAMETTE DENTAL OF WASHINGTON, INC. and AMERICAN FIDELITY ASSURANCE COMPANY. KAISER FOUNDATION HEALTH PLAN OF WASHINGTON writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 125 | Jul 1, 2025 | $792,895 | $43,667 |
| PRINCIPAL LIFE INSURANCE COMPANY | Health, Dental, Vision, Life | 237 | Jul 1, 2025 | $74,139 | $6,405 |
| WILLAMETTE DENTAL OF WASHINGTON, INC. | Dental | 82 | Jul 1, 2025 | $44,787 | $4,479 |
| AMERICAN FIDELITY ASSURANCE COMPANY | — | 30 | Jul 1, 2025 | $8,835 | $1,791 |
Premium and claims on this contract
WILLAMETTE DENTAL OF WASHINGTON, INC., contract WA725. For the contract year on this filing, the carrier reported $44,787 in premium earned and $27,842 in claims incurred. Dividing one by the other gives 62%.
- WILLAMETTE DENTAL OF WASHINGTON, INC., contract WA725 reported $10,190 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Other plans filed by this employer
How this plan compares
Subscribers see how this compares with similar plans in Washington. A subscription also adds this plan's filing history and the renewal calendar for its state. See plans and prices
Without an account you can open 10 employer, broker and carrier pages a day, including through an AI assistant, and 50 a day with a free account. Paid plans are what keep these records free to read.
More employer plans in Washington — largest plans, brokers, carriers and renewal months.