Form 5500 · Employee benefit plan · FIFE, WA
PUYALLUP TRIBAL GAMING ENTERPRISES, INC.
PUYALLUP TRIBAL GAMING ENTERPRISES, INC. of FIFE, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is GREGORY HINE. Coverage is written through PREMERA BLUE CROSS and 6 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1734931 · plan 507 · as of Aug 2026
Plan brief
Schedule A lists 7 insured contracts covering health, dental, vision and life; the largest, with PREMERA BLUE CROSS, covers 2,036 people.
Reported premium across the insured contracts is $28,067,431, with $74,215 in disclosed broker commissions — about 0.3% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
GREGORY HINE is the broker of record on 1 of the 7 contracts; the rest name a different broker or none.
7 carriers appear on the filing — PREMERA BLUE CROSS, WILLAMETTE DENTAL OF WASHINGTON, INC., SYMETRA LIFE INSURANCE COMPANY and COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY among them — with PREMERA BLUE CROSS writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | — | 174 | September | $258,640 | $34,282 |
| SYMETRA LIFE INSURANCE COMPANY | Life | 1,875 | September | $305,739 | $32,398 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 38 | September | $143,193 | $7,535 |
| WILLAMETTE DENTAL OF WASHINGTON, INC. | Dental | 1,197 | September | $748,251 | $0 |
| CURALINC, LLC DBA CURALINC HEALTHCARE | — | 1,992 | September | $42,779 | $0 |
| PREMERA BLUE CROSS | Health, Dental | 2,036 | September | $26,356,731 | $0 |
| VISION SERVICE PLAN | Vision | 3,122 | September | $212,098 | $0 |
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