# HEALTH AND WELFARE BENEFIT PLAN FOR THE EMPLOYEES OF TRAIL BLAZERS, INC.

Health and welfare plan sponsored by **PORTLAND TRAIL BLAZERS LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | PORTLAND TRAIL BLAZERS LLC |
| EIN | 911409166 |
| Plan number | 506 |
| Plan year | 2025 |
| Location | PORTLAND, OR |
| Industry | retail |
| Funding | mixed |
| Total premiums | $6.0M |
| Participants | 1,074 |
| Persons covered | 1,787 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MODA HEALTH | Health |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | STD, Life, LTD, Other |
| DELTA DENTAL PLAN OF OREGON (MODA) | Dental |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental |
| CANOPY | Other |

## Brokers

| Broker | Placed with |
|---|---|
| THE PARTNERS GROUP | MODA HEALTH |
| THE PARTNERS GROUP | UNUM INSURANCE COMPANY |
| THE PARTNERS GROUP | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON |
| THE PARTNERS GROUP | UNUM LIFE INSURANCE COMPANY OF AMERICA |
| THE PARTNERS GROUP | WILLAMETTE DENTAL INSURANCE INC |

## 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/911409166-506
- Cite as: PlanOptica, https://planoptica.com/welfare/911409166-506
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