# KITSAP BANK GROUP HEALTH AND WELFARE PLAN

Health and welfare plan sponsored by **KITSAP BANK**. Form 5500 filing for plan year 2026.

| Field | Value |
|---|---|
| Sponsor | KITSAP BANK |
| EIN | 910283150 |
| Plan number | 501 |
| Plan year | 2026 |
| Location | PORT ORCHARD, WA |
| Industry | Finance and Insurance |
| Funding | fully insured |
| Total premiums | $318K |
| Participants | 0 |
| Persons covered | 344 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health, Rx, PPO |
| DELTA DENTAL OF WASHINGTON | Dental |
| METLIFE LEGAL PLANS | Life, LTD, Other |
| TRUSTMARK INSURANCE COMPANY | Life, Other |
| AFLAC | STD, Other |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | DELTA DENTAL OF WASHINGTON |
| USI INSURANCE SERVICES LLC | METROPOLITAN LIFE INSURANCE COMPANY |
| GIS BENEFITS INC | METROPOLITAN LIFE INSURANCE COMPANY |
| LONG TERM CARE SOLUTIONS, INC. | TRUSTMARK INSURANCE COMPANY |
| PATRICK KELLY | AFLAC |
| SUZANNE OBRIEN | AFLAC |
| SHAWN MARIE BRIDGEMAN | AFLAC |
| USI INSURANCE SERVICES LLC | AFLAC |
| LISA S TAYLOR | AFLAC |
| BROWN & BROWN INSURANCE SERVICES | AFLAC |
| COTTER CONSULTING & BENEFITS INC | AFLAC |
| USI INSURANCE SERVICES LLC | METLIFE LEGAL PLANS |

## 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/910283150-501
- Cite as: PlanOptica, https://planoptica.com/welfare/910283150-501
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