# SEATTLE GOODWILL INDUSTRIES HEALTH AND WELFARE BENEFIT PLAN

Health and welfare plan sponsored by **EVERGREEN GOODWILL OF NORTHWEST WASHINGTON**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | EVERGREEN GOODWILL OF NORTHWEST WASHINGTON |
| EIN | 910568708 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | SEATTLE, WA |
| Industry | non-profit organization management |
| Funding | mixed |
| Total premiums | $638K |
| Participants | 1,932 |
| Persons covered | 2,228 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| AMERITAS LIFE INSURANCE CORP. | Dental |
| METLIFE LEGAL PLANS | Life, LTD, Other |
| WELLSPRING FAMILY SERVICES EAP | Other |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | AMERITAS LIFE INSURANCE CORPORATION |
| USI INSURANCE SERVICES LLC | METROPOLITAN 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/910568708-501
- Cite as: PlanOptica, https://planoptica.com/welfare/910568708-501
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