Form 5500 · Employee benefit plan · OLYMPIA, WA
COMMUNITY YOUTH SERVICES
COMMUNITY YOUTH SERVICES's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is ACRISURE NORTHWEST PARTNERS INSURAN. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0859922 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | Health | 60 | December | $17,940 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 45 | December | $10,645 |
| STANDARD INSURANCE COMPANY | Dental | 104 | December | $3,973 |
| STANDARD INSURANCE COMPANY | Life | 122 | December | $2,900 |
| BENEFIT INTELLIGENCE | — | 122 | December | $122 |
| FIRST CHOICE HEALTH EMPLOYEE ASSISTANCE PROGRAM | — | 168 | December | $0 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 136 | December | $0 |
Questions
Who is COMMUNITY YOUTH SERVICES's benefits broker?
Per its most recent Form 5500 Schedule A, COMMUNITY YOUTH SERVICES's broker of record is ACRISURE NORTHWEST PARTNERS INSURAN.
What insurance carrier does COMMUNITY YOUTH SERVICES use?
COMMUNITY YOUTH SERVICES's benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., among 7 disclosed carriers.
When does COMMUNITY YOUTH SERVICES's group plan renew?
The most recent Schedule A policy period for COMMUNITY YOUTH SERVICES ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from COMMUNITY YOUTH SERVICES's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.