Form 5500 · Employee benefit plan · BELLEVUE, WA
NW MARINE TRADE ASSOCIATION
The filing calls this plan NORTHWEST MARINE TRADE ASSOCIATION HEALTH TRUST.
NW MARINE TRADE ASSOCIATION of BELLEVUE, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CAPITAL BENEFIT SERVICES, LLC. Coverage is written through PREMERA BLUE CROSS and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 46-2934809 · plan 501 · plan year 2024, filed Sep 9, 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 plan's own financial statement reports paying insurance carriers about what the insurance contracts report in premium.
The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.
Benefits declared on this filing
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 9 insured contracts covering health, dental, vision and life; the largest, with PREMERA BLUE CROSS, covers 1,844 people.
Reported premium across the insured contracts is $13,738,200, with $102,282 in disclosed broker commissions — about 0.7% 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.
CAPITAL BENEFIT SERVICES, LLC is the broker of record on 6 of the 9 contracts; the rest name a different broker or none.
7 carriers appear on the filing, including PREMERA BLUE CROSS, KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., DELTA DENTAL OF WASHINGTON and KAISER FOUNDATION HEALTH PLAN OF WASHINGTON. PREMERA BLUE CROSS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL OF WASHINGTON | Dental | 1,773 | Jan 1, 2025 | $894,930 | $62,645 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 1,729 | Jan 1, 2025 | $95,817 | $14,373 |
| REGENCE BLUESHIELD | Health, Vision | 0 | Jan 1, 2025 | $140,703 | $11,484 |
| DELTA DENTAL OF WASHINGTON | Vision | 1,365 | Jan 1, 2025 | $97,340 | $7,727 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life | 121 | Jan 1, 2025 | $40,313 | $6,047 |
| ASURIS NORTHWEST HEALTH | Health, Vision | 0 | Jan 1, 2025 | $12 | $6 |
| PREMERA BLUE CROSS | Health | 1,844 | Jan 1, 2025 | $10,753,912 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | Health | 193 | Jan 1, 2025 | $1,091,415 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 128 | Jan 1, 2025 | $623,758 | $0 |
Premium and claims on this contract
DELTA DENTAL OF WASHINGTON, contract 03981-03988. For the contract year on this filing, the carrier reported $894,930 in premium earned and $687,357 in claims incurred. Dividing one by the other gives 77%.
- DELTA DENTAL OF WASHINGTON, contract 03981-03988 reported $135,135 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
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Renewal calendar
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