# PROVIDENCE HEALTH & SERVICES HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **PROVIDENCE HEALTH & SERVICES**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PROVIDENCE HEALTH & SERVICES |
| EIN | 510216586 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | RENTON, WA |
| Industry | hospital & health care |
| Funding | mixed |
| Total premiums | $185.7M |
| Participants | 75,134 |
| Persons covered | 101,516 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| BLUE SHIELD OF CALIFORNIA | Health, HMO |
| SECURIAN FINANCIAL GROUP | Life, Other |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | LTD, STD |
| PROVIDENCE HEALTH PLAN | Health |
| DELTA DENTAL | Dental |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |

## Brokers

| Broker | Placed with |
|---|---|
| WILLIS TOWERS WATSON US LLC | CALIFORNIA PHYSICIANS' SERVICE |
| WILLIS TOWERS WATSON US LLC | SECURIAN LIFE INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| MERCER HEALTH AND BENEFITS, LLC | DENTEGRA INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | DENTEGRA INSURANCE COMPANY |
| WILLIS TOWERS WATSON US LLC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| AON CONSULTING INC | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | PROVIDENT LIFE AND ACCIDENT 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/510216586-501
- Cite as: PlanOptica, https://planoptica.com/welfare/510216586-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers