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Form 5500 · Employee benefit plan · SEATTLE, WA

LYNDEN INCORPORATED

The filing calls this plan LYNDEN INCORPORATED AND PARTICIPATING EMPLOYERS HEALTHCARE PLAN.

LYNDEN INCORPORATED of SEATTLE, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GALLAGHER BENEFIT SERVICES, INC.. Coverage is written through STANDARD INSURANCE COMPANY and 8 other carriers. The plan's most recent policy period ended in October.

Benefits broker of record
Policy year ends
Octoberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1169184 · plan 502 · plan year 2025, filed Aug 4, 2026

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48 other employer plans in Washington have policy years ending in October. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Both, as reported

The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

All participants at the start of the year
1,983
Active at start of year
1,983
Active at end of year
1,917
Disclosed commissions
$263,262
Typical renewal
November 1

Benefits declared on this filing

Healthinsured — PREMERA BLUE CROSS114 of 1,983 participants (5.7%) on the largest contract
Dentalinsured — PREMERA BLUE CROSS114 of 1,983 participants (5.7%) on the largest contract
Visiondeclared, no contract here says it covers this
Lifeinsured — STANDARD INSURANCE COMPANY2,143 of 1,983 participants on the largest contract
Disabilityinsured — STANDARD INSURANCE COMPANY2,143 of 1,983 participants

Health: the largest of the 5 insured health contracts, with PREMERA BLUE CROSS, covers 114 of 1,983 participants (5.7%) on Schedule A.

Dental: the largest of the 3 insured dental contracts, with PREMERA BLUE CROSS, covers 114 of 1,983 participants (5.7%) on Schedule A.

3 contracts on this filing do not say which benefits they cover, so a line above may be insured by one of them.

Also declared: death benefits, 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.

Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.

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 10 insured contracts covering health, dental, life and disability; the largest, with STANDARD INSURANCE COMPANY, covers 2,143 people.

The filing declares health, dental, life, disability and vision. Vision appears with no insured contract on Schedule A. That coverage may be self-funded, placed with a carrier that is not on this filing, or written on one of the 3 contracts here that do not say what they cover.

Reported premium across the insured contracts is $3,968,776, with $263,262 in disclosed broker commissions — about 6.6% of premium.

The health contract's policy period ended in October, while at least one ancillary line's policy period ended in December. The plan is on a split renewal cycle.

GALLAGHER BENEFIT SERVICES, INC. is the broker of record on 5 of the 10 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
STANDARD INSURANCE COMPANYLife, Disability2,143Jan 1, 2026$1,617,771$137,184
PREMERA BLUE CROSSHealth, Dental114Nov 1, 2025$1,441,872$74,553
NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA—1,917Sep 21, 2025$171,629$25,744
PREMERA BLUE CROSSHealth, Dental118Jan 1, 2026$263,295$13,610
UNUM LIFE INSURANCE COMPANY OF AMERICALife56Jan 1, 2026$60,855$12,171
KAISER FOUNDATION HEALTH PLAN, INC.Health30Jan 1, 2026$232,298$0
TRIPLE S SALUD, INC.Health, Dental10Jan 1, 2026$105,783$0
HAWAII MEDICAL SERVICE ASSOCIATIONHealth11Jan 1, 2026$73,039$0
CONSUMER WELLNESS SOLUTIONS—1,917Oct 14, 2025$1,400$0
HEALTH AND HUMAN RESOURCE CENTER—46Aug 1, 2025$834$0

Premium and claims on this contract

STANDARD INSURANCE COMPANY, contract 762719. For the contract year on this filing, the carrier reported $1,617,771 in premium earned and $719,485 in claims incurred. Dividing one by the other gives 44%.

  • STANDARD INSURANCE COMPANY, contract 762719 reported $899,172 in retention.

Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.

Only experience-rated contracts report these figures, so most filings leave them blank.

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
LYNDEN INCORPORATED
EIN 91-1169184

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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Renewal calendar

48 other employer plans in Washington are November 1 renewals (policy year ends October).

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