# PERFORMANCE SYSTEMS INTEGRATION, LLC EMPLOYEE BENEFIT PLAN

Health and welfare plan sponsored by **PERFORMANCE SYSTEMS INTEGRATION, LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PERFORMANCE SYSTEMS INTEGRATION, LLC |
| EIN | 842397280 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PORTLAND, OR |
| Industry | facilities services |
| Funding | fully insured |
| Total premiums | $1.9M |
| Participants | 431 |
| Persons covered | 431 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, HMO |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision, Life, STD, LTD, Indemnity, Other |
| PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | Other |

## Brokers

| Broker | Placed with |
|---|---|
| LOCKTON COMPANIES, LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| USI INSURANCE SERVICES LLC | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA |
| LOCKTON COMPANIES, LLC | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| USI INSURANCE SERVICES LLC | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| LOCKTON COMPANIES, LLC | KAISER FOUNDATION HEALTH PLAN, INC. |
| USI INSURANCE SERVICES LLC | KAISER FOUNDATION HEALTH PLAN, INC. |
| LOCKTON COMPANIES, LLC | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| USI INSURANCE SERVICES LLC | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| USI INSURANCE SERVICES LLC | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD |

## 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/842397280-501
- Cite as: PlanOptica, https://planoptica.com/welfare/842397280-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers