Plan Ledger DOL Form 5500 · updated monthly

Evergreen Fordbenefits

Cam Clark Evergreen Ford and Chevrolet Health & Welfare Plan · ISSAQUAH, WA · plan year 2023

Broker compensation reported · 2023
$39,037

Evergreen Ford's benefits plan covered 119 active participants in 2023, providing health · dental · vision · life · other. Insurance brokers and agents were paid $39,037 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $328 per covered person, above the median for employer plans that report broker pay.

Insurance contracts · 20233
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · healthpremiums n/a · 61 covered
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · healthpremiums n/a · 35 covered
PRINCIPAL LIFE INSURANCE COMPANY · dental vision life ppopremiums n/a · 131 covered
Brokers & agents paid · 20231
THE PARTNERS GROUP LLC$39,037 · incl $2,153 fees
Also brokered by The Partners Group LLC3

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 861561207 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.