# KAIROS NW LIFE, AD&D, STD AND LTD PLAN

Health and welfare plan sponsored by **KAIROS NORTHWEST**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | KAIROS NORTHWEST |
| EIN | 930686923 |
| Plan number | 502 |
| Plan year | 2025 |
| Location | GRANTS PASS, OR |
| Industry | Health Care and Social Assistance |
| Funding | fully insured |
| Total premiums | $58K |
| Participants | 93 |
| Persons covered | 93 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD, Other |

## Brokers

| Broker | Placed with |
|---|---|
| BOB HART INSURANCE INC | UNITED OF OMAHA LIFE INSURANCE COMPANY |

## 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/930686923-502
- Cite as: PlanOptica, https://planoptica.com/welfare/930686923-502
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