Form 5500 · Employee benefit plan · BELLEVUE, WA
PINEAPPLE HOSPITALITY
The filing calls this plan PINEAPPLE HOSPITALITY COMPANY EMPLOYEE BENEFITS PLAN.
PINEAPPLE HOSPITALITY of BELLEVUE, WA spreads its employee benefits across 5 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is HUB INTERNATIONAL NORTHWEST, LLC. Coverage is written through AETNA LIFE INSURANCE COMPANY and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1429191 · plan 505 · plan year 2023, filed Oct 15, 2024
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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 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.
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 5 insured contracts covering health, dental, vision, life and disability; the largest, with AETNA LIFE INSURANCE COMPANY, covers 242 people.
Reported premium across the insured contracts is $1,824,288, with $48,831 in disclosed broker commissions — about 2.7% 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.
HUB INTERNATIONAL NORTHWEST, LLC is the broker of record on 4 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including AETNA LIFE INSURANCE COMPANY, DELTA DENTAL OF WASHINGTON, UNITED OF OMAHA LIFE INSURANCE COMPANY and VISION SERVICE PLAN. AETNA LIFE INSURANCE COMPANY writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY | Health | 242 | Jan 1, 2024 | $1,594,563 | $31,418 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life, Disability | 277 | Jan 1, 2024 | $62,493 | $7,865 |
| DELTA DENTAL OF WASHINGTON | Dental | 258 | Jan 1, 2024 | $140,054 | $6,612 |
| LIFESECURE INSURANCE COMPANY | — | 277 | Jan 1, 2024 | $9,582 | $1,916 |
| VISION SERVICE PLAN | Vision | 199 | Jan 1, 2024 | $17,596 | $1,020 |
Premium and claims on this contract
DELTA DENTAL OF WASHINGTON, contract 3819. For the contract year on this filing, the carrier reported $140,054 in premium earned and $111,919 in claims incurred. Dividing one by the other gives 80%.
- DELTA DENTAL OF WASHINGTON, contract 3819 reported $30,812 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.
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Renewal calendar
1,162 other employer plans in Washington are January 1 renewals (policy year ends December).
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