Form 5500 · Employee benefit plan · BELLEVUE, WA
MAD ANTHONYS, INC.
Public Form 5500 records show how MAD ANTHONYS, INC. of BELLEVUE, WA, a hospitality and food service employer, structures its employee benefits. Its broker of record is PARKER SMITH & FEEK INSURANCE, LLC. Coverage is written through PREMERA BLUE CROSS and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0889684 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision and life; the largest, with PREMERA BLUE CROSS, covers 277 people.
Reported premium across the insured contracts is $2,373,173, with $37,987 in disclosed broker commissions — about 1.6% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
PARKER SMITH & FEEK INSURANCE, LLC is the broker of record on all 2 contracts.
Two carriers split the book: PREMERA BLUE CROSS and PRINCIPAL LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PREMERA BLUE CROSS | Health, Dental | 277 | December | $2,261,394 | $36,641 |
| PRINCIPAL LIFE INSURANCE COMPANY | Dental, Vision, Life | 283 | December | $111,779 | $1,346 |
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