Form 5500 · Employee benefit plan · POULSBO, WA
MASTERWORKS, INC.
MASTERWORKS, INC. of POULSBO, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is BERG BENEFITS, INC.. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1439009 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 350 people.
Reported premium across the insured contracts is $1,286,037, with $53,734 in disclosed broker commissions — about 4.2% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
BERG BENEFITS, INC. is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: UNITEDHEALTHCARE INSURANCE COMPANY and HARTFORD LIFE AND ACCIDENT.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Dental, Vision | 350 | July | $1,258,038 | $50,232 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 123 | July | $27,999 | $3,502 |
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.
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