Form 5500 · Employee benefit plan · SEATTLE, WA
SUGAR MOUNTAIN GUEST SERVICES, LLC
The filing calls this plan SUGAR MOUNTAIN EMPLOYEE MEDICAL BENEFIT PLAN.
SUGAR MOUNTAIN GUEST SERVICES, LLC of SEATTLE, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is CLG EMPLOYER RESOURCES, LLC. Coverage is written through REGENCE BLUESHIELD and 2 other carriers. The plan's most recent policy period ended in November.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1876424 · plan 501 · plan year 2025, filed May 14, 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.
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 3 insured contracts covering health, dental, vision, life and disability; the largest, with REGENCE BLUESHIELD, covers 158 people.
Reported premium across the insured contracts is $1,701,302, with $81,859 in disclosed broker commissions — about 4.8% of premium.
The health contract's policy period ended in November, while at least one ancillary line's policy period ended in October. The plan is on a split renewal cycle.
CLG EMPLOYER RESOURCES, LLC is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including REGENCE BLUESHIELD, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY and VISION SERVICE PLAN. REGENCE BLUESHIELD writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUESHIELD | Health, Dental | 158 | Dec 1, 2025 | $1,647,087 | $74,377 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Life, Disability | 168 | Dec 1, 2025 | $42,865 | $6,430 |
| VISION SERVICE PLAN | Vision | 124 | Nov 1, 2025 | $11,350 | $1,052 |
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.
How this plan compares
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