Form 5500 · Employee benefit plan · SEATTLE, WA
EVERGREEN GOODWILL OF NORTHWEST WASHINGTON
Public Form 5500 records show how EVERGREEN GOODWILL OF NORTHWEST WASHINGTON (SEATTLE, WA) structures its employee benefits. Its broker of record is USI INSURANCE SERVICES, LLC. Coverage is written through AMERITAS LIFE INSURANCE CORPORATION and 2 other carriers. The plan's most recent policy period ended in October.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0568708 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| AMERITAS LIFE INSURANCE CORPORATION | Dental | 2,228 | October | $20,257 |
| METROPOLITAN LIFE INSURANCE COMPANY | Life, Disability | 1,609 | October | $11,082 |
| WELLSPRING FAMILY SERVICES EAP | — | 1,932 | October | $0 |
Questions
Who is EVERGREEN GOODWILL OF NORTHWEST WASHINGTON's benefits broker?
Per its most recent Form 5500 Schedule A, EVERGREEN GOODWILL OF NORTHWEST WASHINGTON's broker of record is USI INSURANCE SERVICES, LLC.
What insurance carrier does EVERGREEN GOODWILL OF NORTHWEST WASHINGTON use?
EVERGREEN GOODWILL OF NORTHWEST WASHINGTON's benefit plan is written through AMERITAS LIFE INSURANCE CORPORATION, among 3 disclosed carriers.
When does EVERGREEN GOODWILL OF NORTHWEST WASHINGTON's group plan renew?
The most recent Schedule A policy period for EVERGREEN GOODWILL OF NORTHWEST WASHINGTON ended in October. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from EVERGREEN GOODWILL OF NORTHWEST WASHINGTON's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.