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Form 5500 · Employee benefit plan · BREMERTON, WA

PENINSULA COMMUNITY HEALTH SERVICES

The filing calls this plan PENINSULA COMMUNITY HEALTH SERVICES HEALTH AND WELFARE PLAN.

PENINSULA COMMUNITY HEALTH SERVICES of BREMERTON, WA is a 378-participant health care and social assistance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PARKER SMITH & FEEK INC.. Coverage is written through REGENCE BLUESHIELD and 3 other carriers. The plan's most recent policy period ended in December.

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

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 94-3079770 · plan 502 · plan year 2024, filed Oct 3, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

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.

All participants at the start of the year
378
Active at start of year
378
Active at end of year
333
Disclosed commissions
$176,322
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — REGENCE BLUESHIELD251 of 378 participants (66%)
Dentalinsured — REGENCE BLUESHIELD251 of 378 participants (66%)
Visioninsured — VISION SERVICE PLAN231 of 378 participants (61%)
Lifeinsured — RELIANCE STANDARD LIFE INSURANCE COMPANY333 of 378 participants (88%)
Disabilityinsured — ASSURITY LIFE INSURANCE COMPANY141 of 378 participants (37%) on the largest contract

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 9 insured contracts covering health, dental, vision, life and disability; the largest, with REGENCE BLUESHIELD, covers 251 people.

Reported premium across the insured contracts is $3,029,973, with $176,322 in disclosed broker commissions — about 5.8% 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.

PARKER SMITH & FEEK INC. is the broker of record on 6 of the 9 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including REGENCE BLUESHIELD, ASSURITY LIFE INSURANCE COMPANY, RELIANCE STANDARD LIFE INSURANCE COMPANY and VISION SERVICE PLAN. REGENCE BLUESHIELD writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
REGENCE BLUESHIELDHealth, Dental251Jan 1, 2025$2,859,763$154,335
ASSURITY LIFE INSURANCE COMPANYDisability141Jan 1, 2025$52,604$15,214
RELIANCE STANDARD LIFE INSURANCE COMPANY—35Jan 1, 2025$15,443$2,316
RELIANCE STANDARD LIFE INSURANCE COMPANYDisability333Jan 1, 2025$38,118$1,906
VISION SERVICE PLANVision231Jan 1, 2025$37,311$1,759
RELIANCE STANDARD LIFE INSURANCE COMPANY—137Jan 1, 2025$2,345$633
RELIANCE STANDARD LIFE INSURANCE COMPANYLife333Jan 1, 2025$3,178$159
RELIANCE STANDARD LIFE INSURANCE COMPANY—44Jan 1, 2025$20,970$0
RELIANCE STANDARD LIFE INSURANCE COMPANY—57Jan 1, 2025$241$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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
PENINSULA COMMUNITY HEALTH SERVICES
EIN 94-3079770

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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