# TRI-MED AMBULANCE, LLC WELFARE BENEFITS PLAN

Health and welfare plan sponsored by **TRI-MED AMBULANCE, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | TRI-MED AMBULANCE, LLC |
| EIN | 651193452 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | KENT, WA |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $2.0M |
| Participants | 290 |
| Persons covered | 367 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health, Rx, PPO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental |
| VISION SERVICE PLAN (VSP) | Vision |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (CIGNA) | Life, Other |

## Brokers

| Broker | Placed with |
|---|---|
| THE BALDWIN GROUP WEST LLC | REGENCE BLUESHIELD |
| THE BALDWIN GROUP WEST LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| THE BALDWIN GROUP WEST LLC | VISION SERVICE PLAN |
| THE BALDWIN GROUP WEST LLC | LIFE INSURANCE COMPANY OF NORTH AMERICA |

## 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/651193452-501
- Cite as: PlanOptica, https://planoptica.com/welfare/651193452-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers