# PROVIDENCE HEALTH PLAN

Health and welfare plan sponsored by **KAADY CAR WASH**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | KAADY CAR WASH |
| EIN | 930593464 |
| Plan number | 501 |
| Plan year | 2025 |
| Location | PORTLAND, OR |
| Industry | automotive |
| Funding | fully insured |
| Total premiums | $909K |
| Participants | 153 |
| Persons covered | 153 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| PROVIDENCE HEALTH PLAN | Health, Rx, PPO |

## Brokers

| Broker | Placed with |
|---|---|
| RACHELLE GONZALES | PROVIDENCE HEALTH 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/930593464-501
- Cite as: PlanOptica, https://planoptica.com/welfare/930593464-501
- More: https://planoptica.com/llms.txt · API waitlist: https://planoptica.com/developers