Form 5500 · Employee benefit plan · SEATTLE, WA
LEISURE CARE, LLC
The filing calls this plan LEISURE CARE HEALTH BENEFITS TRUST.
Public Form 5500 records show how LEISURE CARE, LLC of SEATTLE, WA, a health care and social assistance employer, structures its employee benefits. Its broker of record is PARKER SMITH & FEEK INSURANCE, LLC. Coverage is written through PREMERA BLUE CROSS and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 41-2087817 · plan 501 · plan year 2025, filed Jul 14, 2026
Get an email when this employer files a new Form 5500, and again about four months before its plan renews.
114 other employer plans in Washington have policy years ending in September. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Fully insured as reported
The plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
Also declared: 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.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with PREMERA BLUE CROSS, covers 1,138 people.
Reported premium across the insured contracts is $11,678,037, with $21,289 in disclosed broker commissions — about 0.2% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
PARKER SMITH & FEEK INSURANCE, LLC is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including PREMERA BLUE CROSS, HARTFORD LIFE AND ACCIDENT and UNUM LIFE INSURANCE COMPANY OF AMERICA. PREMERA BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 452 | Oct 1, 2025 | $315,814 | $21,289 |
| PREMERA BLUE CROSS | Health, Dental, Vision | 1,138 | Oct 1, 2025 | $11,302,114 | $0 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 207 | Oct 1, 2025 | $60,109 | $0 |
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.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
Other plans filed by this employer
How this plan compares
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Renewal calendar
114 other employer plans in Washington are October 1 renewals (policy year ends September).
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