# STUMPTOWN COFFEE CORP

Health and welfare plan sponsored by **STUMPTOWN COFFEE CORP**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | STUMPTOWN COFFEE CORP |
| EIN | 451765633 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PORTLAND, OR |
| Industry | Retail Trade |
| Funding | fully insured |
| Total premiums | $2.4M |
| Participants | 217 |
| Persons covered | 328 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health, PPO |
| DELTA DENTAL PLAN OF OREGON (MODA) | Dental |
| LINCOLN FINANCIAL GROUP | Life, STD, Other, LTD |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| THE PARTNERS GROUP | REGENCE BLUECROSS BLUESHIELD OF OREGON |
| THE PARTNERS GROUP | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON |
| THE PARTNERS GROUP | VISION SERVICE PLAN |
| THE PARTNERS GROUP | LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| WATCHTOWER TECHNOLOGIES INC | LINCOLN NATIONAL LIFE INSURANCE COMPANY |
| THE PARTNERS GROUP | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/451765633-501
- Cite as: PlanOptica, https://planoptica.com/welfare/451765633-501
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