# JH KELLY LLC HEALTH AND WELFARE

Health and welfare plan sponsored by **JH KELLY LLC**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | JH KELLY LLC |
| EIN | 911704136 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | LONGVIEW, WA |
| Industry | construction |
| Funding | fully insured |
| Total premiums | $6.0M |
| Participants | 331 |
| Persons covered | 457 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health, Rx, PPO |
| KAISER PERMANENTE | Health, Rx, HMO |
| DELTA DENTAL OF WASHINGTON | Dental |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life, LTD, Other, STD |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Other |
| AMERITAS LIFE INSURANCE CORP. | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| WOODRUFF-SAWYER & CO | REGENCE BLUESHIELD |
| WOODRUFF-SAWYER & CO | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST |
| AFLAC - SEE ATTACHMENT | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY |
| WOODRUFF-SAWYER & CO | AMERITAS LIFE INSURANCE CORP. |

## 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/911704136-501
- Cite as: PlanOptica, https://planoptica.com/welfare/911704136-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers