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Form 5500 · Employee benefit plan · MUKILTEO, WA

HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST

HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST of MUKILTEO, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CLG EMPLOYER RESOURCES, LLC. Coverage is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY and 19 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
CLG EMPLOYER RESOURCES, LLC
Insurance carrier
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-6382815 · plan 501 · as of Jul 2026

Participants
3,675
Carriers on file
20
Disclosed commissions
$12,955
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANYLife57January$10,505
TRANSAMERICA LIFE INSURANCE COMPANYLife1,430December$2,450
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth1,126December$0
WILLAMETTE DENTAL OF WASHINGTON, INC.Dental33December$0
AETNA LIFE INSURANCE CO.Health163December$0
AETNA LIFE INSURANCE CO.Health32December$0
AETNA LIFE INSURANCE CO.Health91December$0
AETNA LIFE INSURANCE CO.Health38December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth9December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth71December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health0December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth80December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health0December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health21December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health2December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health23December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health23December$0
AMERITAS LIFE INSURANCE CORPORATIONDental, Vision2,970December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health48December$0
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INCHealth940December$0

Questions

Who is HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST's benefits broker?

Per its most recent Form 5500 Schedule A, HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST's broker of record is CLG EMPLOYER RESOURCES, LLC.

What insurance carrier does HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST use?

HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST's benefit plan is written through PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY, among 20 disclosed carriers.

When does HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST's group plan renew?

The most recent Schedule A policy period for HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from HOSPITALITY INDUSTRY HEALTH INSURANCE TRUST's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.