Form 5500 · Employee benefit plan · SEATTLE, WA
PACIFIC SCIENCE CENTER FOUNDATION
The filing calls this plan PACIFIC SCIENCE CENTER WELFARE BENEFITS PLAN.
PACIFIC SCIENCE CENTER FOUNDATION of SEATTLE, WA insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is BROWN & BROWN INSURANCE SVCS. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON and 3 other carriers. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0750867 · plan 501 · plan year 2025, filed Feb 6, 2026
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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.
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; the largest, with KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, covers 68 people.
Reported premium across the insured contracts is $1,165,060, with $31,802 in disclosed broker commissions — about 2.7% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
BROWN & BROWN INSURANCE SVCS is the broker of record on all 4 contracts.
4 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC., DELTA DENTAL OF WASHINGTON and THE LINCOLN NATIONAL LIFE INSURANCE COMPANY. KAISER FOUNDATION HEALTH PLAN OF WASHINGTON writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | Health, Vision | 61 | Jul 1, 2025 | $517,697 | $13,623 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health, Vision | 68 | Jul 1, 2025 | $536,361 | $13,234 |
| DELTA DENTAL OF WASHINGTON | Dental | 139 | Jul 1, 2025 | $80,168 | $4,349 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 148 | Jul 1, 2025 | $30,834 | $596 |
Premium and claims on this contract
DELTA DENTAL OF WASHINGTON, contract 9199. For the contract year on this filing, the carrier reported $80,168 in premium earned and $73,208 in claims incurred. Dividing one by the other gives 91%.
- DELTA DENTAL OF WASHINGTON, contract 9199 reported $14,030 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. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 198 employees, 7 recordable cases, 31 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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