Form 5500 · Employee benefit plan · KENT, WA
TRI-MED AMBULANCE, LLC
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 · as of Aug 2026
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 — REGENCE BLUESHIELD, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, VISION SERVICE PLAN and LIFE INSURANCE COMPANY OF NORTH AMERICA — with REGENCE BLUESHIELD writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUESHIELD | Health | 334 | December | $1,808,499 | $90,255 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental | 273 | December | $146,189 | $14,619 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 367 | December | $8,300 | $1,245 |
| VISION SERVICE PLAN | Vision | 279 | December | $17,155 | $1,004 |
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