Form 5500 · Employee benefit plan · TUMWATER, WA
PEPSI NORTHWEST BEVERAGES LLC
PEPSI NORTHWEST BEVERAGES LLC of TUMWATER, WA spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is THE BALDWIN GROUP, LLC. Coverage is written through PREMERA BLUE CROSS and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-4737891 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental, vision, life and disability; the largest, with PREMERA BLUE CROSS, covers 675 people.
Reported premium across the insured contracts is $6,421,175, with $12,940 in disclosed broker commissions — about 0.2% 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.
THE BALDWIN GROUP, LLC is the broker of record on 2 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing — PREMERA BLUE CROSS, DELTA DENTAL OF WASHINGTON, PRINCIPAL LIFE INSURANCE COMPANY and VISION SERVICE PLAN among them — with PREMERA BLUE CROSS writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PRINCIPAL LIFE INSURANCE COMPANY | Life, Disability | 405 | December | $219,560 | $12,940 |
| PREMERA BLUE CROSS | Health | 675 | December | $5,796,887 | $0 |
| DELTA DENTAL OF WASHINGTON | Dental | 682 | December | $353,449 | $0 |
| VISION SERVICE PLAN | Vision | 333 | December | $44,051 | $0 |
| COMPSYCH CORPORATION | — | 350 | December | $7,228 | $0 |
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