Form 5500 · Employee benefit plan · SHORELINE, WA
THE EVERGREEN SCHOOL
Public Form 5500 records show how THE EVERGREEN SCHOOL (SHORELINE, WA) structures its employee benefits. Its broker of record is SEA MOUNTAIN INSURANCE BROKERS INC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0756462 · plan 501 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 138 | December | $54,874 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental | 181 | December | $4,334 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 119 | December | $2,867 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 119 | December | $1,985 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 1 | December | $1,387 |
| VISION SERVICE PLAN | Vision | 71 | December | $787 |
Questions
Who is THE EVERGREEN SCHOOL's benefits broker?
Per its most recent Form 5500 Schedule A, THE EVERGREEN SCHOOL's broker of record is SEA MOUNTAIN INSURANCE BROKERS INC.
What insurance carrier does THE EVERGREEN SCHOOL use?
THE EVERGREEN SCHOOL's benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, among 6 disclosed carriers.
When does THE EVERGREEN SCHOOL's group plan renew?
The most recent Schedule A policy period for THE EVERGREEN SCHOOL ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from THE EVERGREEN SCHOOL's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.