# COMMUNITY YOUTH SERVICES HEALTH & WELFARE PLAN

Health and welfare plan sponsored by **COMMUNITY YOUTH SERVICES**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | COMMUNITY YOUTH SERVICES |
| EIN | 910859922 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | OLYMPIA, WA |
| Industry | non-profit organization management |
| Funding | fully insured |
| Total premiums | $870K |
| Participants | 156 |
| Persons covered | 168 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, PPO, HMO |
| STANDARD INSURANCE COMPANY | Dental, Life, Other |
| AFLAC | Health |
| METLIFE LEGAL PLANS | Vision |
| FIRST CHOICE HEALTH | Other |
| BENEFIT INTELLIGENCE | Other |

## Brokers

| Broker | Placed with |
|---|---|
| ACRISURE LLC | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. |
| ACRISURE LLC | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| BELL-ANDERSON AGENCY INC | STANDARD INSURANCE COMPANY |
| THE WRIGHT BENEFITS LLC | AFLAC INSURANCE COMPANY |
| JAMEY MILLER INC | AFLAC INSURANCE COMPANY |
| KIMBERLY MOGER | AFLAC INSURANCE COMPANY |
| DWAYNE V FRENCH | AFLAC INSURANCE COMPANY |
| ACRISURE LLC | AFLAC INSURANCE COMPANY |
| BRUNN & COMPANY INC. | AFLAC INSURANCE COMPANY |
| DAVID VON GEHR | AFLAC INSURANCE COMPANY |
| MICHAEL BRUNN | AFLAC INSURANCE COMPANY |
| JACOB J MCINTOSH | AFLAC INSURANCE COMPANY |
| CHARLES HUGH MACKAY | AFLAC INSURANCE COMPANY |
| CHARLES H WEISSBERGER | AFLAC INSURANCE COMPANY |
| DAVID JOHN HANNANT | AFLAC INSURANCE COMPANY |
| CRAIG A HANSEN | AFLAC INSURANCE COMPANY |
| JOSHUA M HELDEROP | AFLAC INSURANCE COMPANY |
| GHB INC | BENEFIT INTELLIGENCE |

## 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/910859922-501
- Cite as: PlanOptica, https://planoptica.com/welfare/910859922-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers