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Form 5500 · Employee benefit plan · VANCOUVER, WA

MEDICAL MANAGEMENT INTERNATIONAL, INC.

The filing calls this plan BANFIELD PET HOSPITAL EMPLOYEE WELFARE PLAN.

Public Form 5500 records show how MEDICAL MANAGEMENT INTERNATIONAL, INC. of VANCOUVER, WA, a professional services employer, structures its employee benefits. Its broker of record is WILLIS TOWERS WATSON US LLC. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF OREGON and 8 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1132244 · plan 501 · plan year 2024, filed Sep 30, 2025

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1,162 other employer plans in Washington have policy years ending in December. 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 filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

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.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
19,852
Active at start of year
18,998
Active at end of year
18,612
Disclosed commissions
$854,335
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — REGENCE BLUECROSS BLUESHIELD OF OREGON5,991 of 19,852 participants (30%) on the largest contract
Dentalinsured — REGENCE BLUECROSS BLUESHIELD OF OREGON5,991 of 19,852 participants (30%) on the largest contract
Visioninsured — VISION SERVICE PLAN7,718 of 19,852 participants (39%)
Lifeinsured — LIFE INSURANCE COMPANY OF NORTH AMERICA16,438 of 19,852 participants (83%) on the largest contract
Disabilityinsured — THE LINCOLN NATIONAL LIFE INSURANCE COMPANY13,435 of 19,852 participants (68%) on the largest contract

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.

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, vision, life, disability and stop-loss; the largest, with REGENCE BLUECROSS BLUESHIELD OF OREGON, covers 5,991 people.

The filing lists a stop-loss contract. On its own that does not settle whether the plan pays its own claims.

Reported premium across the insured contracts is $65,289,018, with $854,335 in disclosed broker commissions — about 1.3% 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.

WILLIS TOWERS WATSON US LLC is the broker of record on 8 of the 10 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CONTINENTAL AMERICAN INSURANCE COMPANY—8,517Jan 1, 2025$2,057,017$709,994
LIFE INSURANCE COMPANY OF NORTH AMERICALife16,438Jan 1, 2025$1,641,016$65,641
ARAG INSURANCE COMPANY—3,010Jan 1, 2025$313,214$40,718
VISION SERVICE PLANVision7,718Jan 1, 2025$908,564$25,019
TRIPLE S SALUD, INC.Health, Dental, Life58Jan 1, 2025$259,269$12,963
REGENCE BLUECROSS BLUESHIELD OF OREGONHealth, Dental5,991Jan 1, 2025$49,431,419$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability13,435Jan 1, 2025$6,055,091$0
THE LINCOLN NATIONAL LIFE INSURANCE COMPANYDisability13,435Jan 1, 2025$3,123,558$0
COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANYHealth, Stop-loss8,401Jan 1, 2025$1,084,214$0
CARELON BEHAVIORAL HEALTH—19,025Jan 1, 2025$415,656$0

Premium and claims on these contracts

TRIPLE S SALUD, INC., contract SP0007380. For the contract year on this filing, the carrier reported $259,269 in premium earned and $156,673 in claims incurred. Dividing one by the other gives 60%.

REGENCE BLUECROSS BLUESHIELD OF OREGON, contract 10047523. For the contract year on this filing, the carrier reported $49,431,419 in premium earned and $44,713,775 in claims incurred. Dividing one by the other gives 90%.

  • TRIPLE S SALUD, INC., contract SP0007380 reported $0 in retention.
  • REGENCE BLUECROSS BLUESHIELD OF OREGON, contract 10047523 reported $4,709,969 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
MEDICAL MANAGEMENT INTERNATIONAL, INC.
EIN 93-1132244

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

Other plans filed by this employer

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Renewal calendar

1,162 other employer plans in Washington are January 1 renewals (policy year ends December).

Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.

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