Form 5500 · Employee benefit plan · BELLEVUE, WA
MUTUAL MATERIALS COMPANY
The filing calls this plan MUTUAL MATERIALS HEALTH BENEFIT PLAN.
MUTUAL MATERIALS COMPANY of BELLEVUE, WA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST and 3 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0158750 · plan 508 · plan year 2025, filed May 25, 2026
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114 other employer plans in Washington have policy years ending in September. 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.
Benefits declared on this filing
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 4 insured contracts covering health, dental, vision, life and disability.
Reported premium across the insured contracts is $916,846, with $64,073 in disclosed broker commissions — about 7% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
USI INSURANCE SERVICES LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, METROPOLITAN LIFE INSURANCE COMPANY, VISION SERVICE PLAN and UPRISE HEALTH. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY | Health, Dental, Life, Disability | 707 | Oct 1, 2025 | $407,284 | $39,620 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 66 | Oct 1, 2025 | $451,290 | $23,075 |
| VISION SERVICE PLAN | Vision | 312 | Oct 1, 2025 | $46,000 | $1,378 |
| UPRISE HEALTH | — | 419 | Oct 1, 2025 | $12,272 | $0 |
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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 420 employees, 30 recordable cases, 754 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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Renewal calendar
114 other employer plans in Washington are October 1 renewals (policy year ends September).
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