Form 5500 · Employee benefit plan · KENT, WA
TRI-MED AMBULANCE, LLC
The filing calls this plan TRI-MED AMBULANCE, LLC WELFARE BENEFITS PLAN.
TRI-MED AMBULANCE, LLC of KENT, WA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THE BALDWIN GROUP MID-ATLANTIC, LLC. Coverage is written through REGENCE BLUESHIELD and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 65-1193452 · plan 501 · plan year 2025, filed Jul 9, 2026
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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: 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 4 insured contracts covering health, dental, vision and life; the largest, with REGENCE BLUESHIELD, covers 334 people.
Reported premium across the insured contracts is $1,980,143, with $107,123 in disclosed broker commissions — about 5.4% 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.
THE BALDWIN GROUP MID-ATLANTIC, LLC is the broker of record on 1 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including REGENCE BLUESHIELD, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN and LIFE INSURANCE COMPANY OF NORTH AMERICA. REGENCE BLUESHIELD writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUESHIELD | Health | 334 | Jan 1, 2026 | $1,808,499 | $90,255 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 273 | Jan 1, 2026 | $146,189 | $14,619 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 367 | Jan 1, 2026 | $8,300 | $1,245 |
| VISION SERVICE PLAN | Vision | 279 | Jan 1, 2026 | $17,155 | $1,004 |
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.
Reported to OSHA
Reported to OSHA for 2025: 377 employees, 43 recordable cases, 854 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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Renewal calendar
1,162 other employer plans in Washington are January 1 renewals (policy year ends December).
Their policy years end in December, like this plan’s, so most renew January 1. The calendar lists every insured group by renewal date and state, with broker of record, carrier and disclosed commission. You can preview the five largest in each month for free.
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