Premera DB Plan

Form 5500 filing data for plan year 2025.

Plan Snapshot

  • Plan Sponsor: Premera
  • Sponsor EIN: 911662324
  • Sponsor Address: PO BOX 327, SEATTLE, WA, 98111
  • Plan Type: DB
  • Plan Number: 001
  • Total Participants: 4,696
  • Total Assets: $476.8M

Key Plan Design Features

  • Auto-Enrollment: No
  • Auto-Escalation: No
  • Allows Roth Contributions: No
  • Participant Loans: No
  • Participant-Directed Investments: No
  • ERISA Section 404(c) Fiduciary Safe Harbor: No

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
20254,696$476.8M$0$0
20242,755$445.6M$25.0M$0
20232,680$479.3M$20.0M$0
20222,481$406.1M$20.0M$0

Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

Provider Name Role Direct Compensation Indirect Compensation Total Fees
NISA INVESTMENT ADVISORS, LLCInvestment Advisor$554,453—$554,453
WILLIS TOWERS WATSON US LLCActuary$340,121—$340,121
JPMORGAN CHASE BANK, N.A.Investment Advisor$294,425—$294,425
BURGUNDY ASSET MANAGEMENT LTD.Investment Advisor$214,887—$214,887
SILCHESTER INTERNATIONAL INVESTORSInvestment Advisor$203,299—$203,299
WELLINGTON TRUSTInvestment Advisor$98,033—$98,033
THE BANK OF NEW YORK MELLON TRST COCustodian / Trustee$70,594—$70,594
MARINERInvestment Advisor$47,838—$47,838

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $1,823,650
  • Estimated Expense Ratio: 0.382% of plan assets

Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

Year Total Admin Expenses Investment Mgmt Fees Contract Admin Fees IQPA Audit Fees Professional Fees
2025$26,146,712$1,379,673———
2024$2,400,283$1,367,092———
2023$2,207,130$1,422,365———
2022$2,650,010$1,622,648$142,964—$289,191

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