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Form 5500 · Employee benefit plan · SEATTLE, WA

MIRABELLA RETIREMENT

MIRABELLA RETIREMENT's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is USI INSURANCE SERVICES, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON and 1 other carrier. The plan's most recent policy period ended in September.

Benefits broker of record
Plan renews
September

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 34-2030255 · plan 510 · as of Jul 2026

Participants
144
Carriers on file
2
Disclosed commissions
$36,257
Renewal month
September

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
KAISER FOUNDATION HEALTH PLAN OF WASHINGTONHealth123September$26,239
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC.Health45September$10,018

Questions

Who is MIRABELLA RETIREMENT's benefits broker?

Per its most recent Form 5500 Schedule A, MIRABELLA RETIREMENT's broker of record is USI INSURANCE SERVICES, LLC.

What insurance carrier does MIRABELLA RETIREMENT use?

MIRABELLA RETIREMENT's benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, among 2 disclosed carriers.

When does MIRABELLA RETIREMENT's group plan renew?

The most recent Schedule A policy period for MIRABELLA RETIREMENT ended in September. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from MIRABELLA RETIREMENT's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.