Form 5500 · Employee benefit plan · BELLEVUE, WA
T-MOBILE USA, INC.
T-MOBILE USA, INC. of BELLEVUE, WA spreads its employee benefits across 4 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is AMERICAN BENEFITS & COMP SYSTEMS. Coverage is written through HARTFORD LIFE AND ACCIDENT and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-1983600 · plan 506 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, life and disability; the largest, with HARTFORD LIFE AND ACCIDENT, covers 92,108 people.
Reported premium across the insured contracts is $45,044,295, with $9,902 in disclosed broker commissions — about 0% 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.
AMERICAN BENEFITS & COMP SYSTEMS is the broker of record on 3 of the 5 contracts; the rest name a different broker or none.
4 carriers appear on the filing — HARTFORD LIFE AND ACCIDENT, UNITED BEHAVIORAL HEALTH DBA OPTUM, HAWAII MEDICAL SERVICE ASSOCIATION and HARTFORD FIRE INSURANCE COMPANY — with HARTFORD LIFE AND ACCIDENT writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| HARTFORD FIRE INSURANCE COMPANY | — | 74,331 | December | $99,016 | $9,902 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 436 | December | $2,962,231 | $0 |
| HARTFORD LIFE AND ACCIDENT | — | 85,572 | December | $2,190,214 | $0 |
| UNITED BEHAVIORAL HEALTH DBA OPTUM | — | 69,466 | December | $8,037,735 | $0 |
| HARTFORD LIFE AND ACCIDENT | Life, Disability | 92,108 | December | $31,755,099 | $0 |
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