Form 5500 · Employee benefit plan · SEATTLE, WA
DAVIS DOOR SERVICE, INC.
DAVIS DOOR SERVICE, INC. of SEATTLE, WA is a 108-participant construction employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is HUB INTERNATIONAL NORTHWEST. Coverage is written through REGENCE BLUESHIELD and 2 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1159999 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with REGENCE BLUESHIELD, covers 168 people.
Reported premium across the insured contracts is $1,279,157, with $61,705 in disclosed broker commissions — about 4.8% 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.
HUB INTERNATIONAL NORTHWEST is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — REGENCE BLUESHIELD, DELTA DENTAL OF WASHINGTON and GUARDIAN — with REGENCE BLUESHIELD writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUESHIELD | Health, Vision | 168 | June | $1,140,163 | $52,304 |
| DELTA DENTAL OF WASHINGTON | Dental | 188 | June | $106,080 | $5,270 |
| GUARDIAN | Life, Disability | 106 | June | $32,914 | $4,131 |
More employer plans in Washington — largest plans, brokers, carriers and renewal months.