# COWLITZ FAMILY HEALTH CENTER HEALTH & WELFARE PLAN

Health and welfare plan sponsored by **COWLITZ FAMILY HEALTH CENTER**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | COWLITZ FAMILY HEALTH CENTER |
| EIN | 910896241 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LONGVIEW, WA |
| Industry | hospital & health care |
| Funding | fully insured |
| Total premiums | $2.8M |
| Participants | 179 |
| Persons covered | 346 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| KAISER PERMANENTE | Health, Rx, Dental |
| SYMETRA LIFE INSURANCE COMPANY | Life, LTD, Other |
| DELTA DENTAL OF WASHINGTON | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| USI INSURANCE SERVICES LLC | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| USI INSURANCE SERVICES LLC | SYMETRA LIFE INSURANCE COMPANY |
| USI INSURANCE SERVICES LLC | DELTA DENTAL OF WASHINGTON |
| USI INSURANCE SERVICES LLC | VISION SERVICE PLAN |

## 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/910896241-501
- Cite as: PlanOptica, https://planoptica.com/welfare/910896241-501
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