| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 1345 4TH AVE STE 1705 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | — | $10K | $10K | 0.04% |
| DIMARTINO ASSOCIATES3 | 1325 4TH AVE STE 1705 SEATTLE, WA 98101 | THE UNION LABOR LIFE INSURANCE CO | $36K | $0 | $36K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KAISER OF WASHINGTON EIN 91-0511770 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $15.5M |
| SEIU 775 BENEFITS GROUP EIN 85-2581812 PARTICIPATING EMPLOYER | Plan Administrator; Direct payment from the plan Service code 14 | — | $8.9M |
| MAGNACARE EIN 11-3410766 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator; Direct payment from the plan Service code 14 | — | $6.7M |
| AETNA EIN 06-6033492 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.7M |
| DELTA DENTAL NONE | Direct payment from the plan; Claims processing Service code 12 | PO BOX 741301 LOS ANGELES, CA 90074 | $718K |
| CLARK NUBER PS EIN 91-1194016 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $359K |
| BROWN & BROWN OF WASHINGTON, INC. EIN 91-0378940 NONE | Direct payment from the plan; Consulting (general); Insurance agents and brokers Service code 16 | — | $341K |
| MILLIMAN SOLUTIONS LLC EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $223K |
| ABRACADABRA PRINTING INC EIN 91-1677862 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $198K |
| SEIU HEALTHCARE 775NW EIN 81-0588837 PARTICIPATING EMPLOYER | Direct payment from the plan; Other services Service code 49 | — | $142K |
| SHIFTUP EIN 20-0252516 NONE | Direct payment from the plan; Other services Service code 49 | — | $132K |
| INTERPRO TRANSLATION SOLUTIONS EIN 36-3991375 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $104K |
| CAPCO EIN 04-3441053 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $90K |
| QUALTRICS, LLC EIN 45-4964116 NONE | Direct payment from the plan; Other services Service code 49 | — | $78K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance services; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $77K |
| JOHN JONES NONE | Direct payment from the plan; Consulting (general) Service code 16 | 215 COLUMBIA ST STE 300 SEATTLE, WA 98104 | $74K |
| CONVERGENCE NETWORKS (SWAT SYSTEMS) EIN 91-1958462 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $72K |
| GIRLING KELLY DESIGN GROUP LLC(ART) NONE | Other services; Consulting (general); Direct payment from the plan Service code 16 | 619 WESTERN AVE STE 620 SEATTLE, WA 98104 | $64K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $59K |
| PACIFIC MARKET RESEARCH EIN 91-1898174 NONE | Other services; Direct payment from the plan Service code 49 | — | $56K |
| ELIZABETH KNASTER CONSULTING LLC EIN 82-1475532 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $53K |
| RBC WEALTH MANAGEMENT EIN 20-0563684 NONE | Investment advisory (plan); Direct payment from the plan; Investment management Service code 27 | — | $52K |
| DATEC EIN 91-0930538 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $48K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $47K |
| ALL IN GOOD COMPANY EIN 88-1252597 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $44K |
| CDW DIRECT EIN 26-0273989 NONE | Direct payment from the plan; Other services Service code 49 | — | $38K |
| IMPROVADO INC. NONE | Legal; Direct payment from the plan Service code 29 | 3919 30TH ST SAN DIEGO, CA 92104 | $36K |
| KATE BALDWIN EIN 20-0586157 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $30K |
| WASHINGTON HEALTH ALLIANCE EIN 47-0948895 NONE | Other services; Direct payment from the plan Service code 49 | — | $30K |
| EPIC HEARING NONE | Claims processing; Direct payment from the plan Service code 12 | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 | $30K |
| ANTAGE INCORPORATED NONE | Consulting (general); Direct payment from the plan Service code 16 | 8115 ISABELLA LN STE 3 BRENTWOOD, TN 37027 | $30K |
| HR ADVOCATES, INC NONE | Consulting (general); Direct payment from the plan Service code 16 | 815 GROVE PARK AVE TAMPA, FL 33609 | $29K |
| DILIGENT CORPORATION EIN 26-1189601 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $28K |
| SARAH WILLGRESS NONE | Consulting (general); Direct payment from the plan Service code 16 | 15113 21ST DR SE MILL CREEK, WA 98012 | $28K |
| SMARTSHEET.COM, INC. EIN 20-2954357 NONE | Other services; Direct payment from the plan Service code 49 | — | $27K |
| UKG INC. EIN 65-0694077 NONE | Other services; Direct payment from the plan Service code 49 | — | $26K |
| GIBSON & ASSOCIATES, INC. EIN 91-1770940 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $26K |
| WORKDAY, INC. NONE | Other services; Direct payment from the plan Service code 49 | 6110 STONERIDGE MALL RD PLEASANTON, CA 94588 | $25K |
| LISTENING TREE CONSULTING EIN 83-3267122 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $16K |
| BOX, INC. EIN 20-2714444 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| CONCUR TECHNOLOGIES NONE | Other services; Direct payment from the plan Service code 49 | 62157 COLLECTIONS CENTER DR CHICAGO, IL 60693 | $13K |
| SALESFORCE.ORG EIN 26-2409769 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| WITHUM EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $12K |
| AGILOFT EIN 71-0907214 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $11K |
| LINKEDIN CORPORATION EIN 47-0912023 NONE | Other services; Direct payment from the plan Service code 49 | — | $10K |
| WCG CLINICAL INC NONE | Direct payment from the plan; Other services Service code 49 | 212 CARNEGIE CENTER STE 301 PRINCETON, NJ 08540 | $10K |
| PAYTECH, INC. EIN 84-1496213 NONE | Direct payment from the plan; Other services Service code 49 | — | $10K |
| AMALGAMATED BANK EIN 13-3566126 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $10K |
| REALTIMEBOARD INC. DBA MIRO EIN 46-3921926 NONE | Other services; Direct payment from the plan Service code 49 | — | $9K |
| ZOOM COMMUNICATIONS, INC. NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 888843 LOS ANGELES, CA 900888843 | $9K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 25,367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 25,367 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 13,789 | $52.6M |
| Dental | WILLAMETTE DENTAL OF WASHINGTON, INC | 4,341 | $3.1M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE CO | 23,907 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,907 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.