Plan Ledger DOL Form 5500 · updated monthly

Pacific Quick Serve Holdco, LLCbenefits

Ambrosia Qsr Health & Welfare Benefit Plan · VANCOUVER, WA · plan year 2025

Broker compensation reported · 2025
$217,576

Pacific Quick Serve Holdco, LLC's benefits plan covered 420 active participants in 2025, providing health · life · dental · vision · other. Insurance brokers and agents were paid $217,576 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $518 per covered person, in the top quarter of employer plans that report broker pay.

Insurance contracts · 20255
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST · health drug hmopremiums n/a · 60 covered
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · health drug hmopremiums n/a · 59 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 8 covered
UNITEDHEALTHCARE INSURANCE COMPANY · health dental visionpremiums n/a · 945 covered
UNITEDHEALTHCARE INSURANCE COMPANY · lifepremiums n/a · 526 covered
Brokers & agents paid · 20254
AON CONSULTING INC$184,792 · incl $132,277 fees
Also brokered by Aon5
Starbucks Corporation WA$17,604,027
Walgreen Co. IL$6,651,057
Relx Inc. NY$4,073,868
Aon Corporation IL$3,754,124

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 832029566 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.