| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC-SE | — | LIFEMAP ASSURANCE COMPANY | — | $62 | $62 | 0.18% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROWN & BROWN OF WASHINGTON EIN 91-0378940 NONE | Consulting (general); Insurance agents and brokers; Direct payment from the plan; Other services Service code 16 | — | $250K |
| BONNEVILLE INTERNATIONAL CORPORATIO NONE | Direct payment from the plan; Other services Service code 49 | 55 NORTH 300 WEST SALT LAKE CITY, UT 84101 | $161K |
| BENEFIT SOLUTIONS INC. EIN 91-1603312 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $160K |
| WA FARM BUREAU SERVICE CO. EIN 91-1912012 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $141K |
| DIAMOND BENEFITS NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 19125 NORTHCREEK PARKWAY BOTHELL, WA 98011 | $41K |
| FORTIPHI LLC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 288 MARTIN ST BLAINE, WA 98230 | $34K |
| BENEFITS DIVISION NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 125 S SWOOPE AVE MAITLAND, FL 32751 | $29K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| AG INFORMATION NETWORK OF THE WEST NONE | Direct payment from the plan; Other services Service code 49 | 173 BAKER RANCH RD WALLA WALLA, WA 99362 | $25K |
| CONOVER INSURANCE SERVICES LLC NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 155 108TH AVE NE BELLEVUE, WA 98004 | $24K |
| DIGITAL INSURANCE NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 5713 WOLLOCHET DRIVE NW GIG HARBOR, WA 98335 | $24K |
| CC SERVICES INC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 1701 TOWANDA AVE BLOOMINGTON, IL 61701 | $23K |
| INLAND INSURANCE NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 9016 E INDIANA AVE SPOKANE VALLEY, WA 99212 | $19K |
| ENG INSURANCE & FINANCIAL SERVICES NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 1520 S PIONEER WAY MOSES LAKE, WA 98837 | $17K |
| OLYMPIC CREST INSURANCE NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 7191 WAGNER WAY GIG HARBOR, WA 98335 | $15K |
| THE ADVISOR BENEFITS GROUP NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 5101 W CLEARWATER AVE KENNEWICK, WA 99336 | $15K |
| CRUSE, MCCUNE, & ASSOC, INC NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 205 S MAIN ST ELLENSBURG, WA 98926 | $13K |
| BRATRUD MIDDLETON INS NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 925 4TH AVE SEATTLE, WA 98104 | $12K |
| BASIN BUSINESS JOURNAL FARM NEWS NONE | Direct payment from the plan; Other services Service code 49 | 815 W 3RD AVE MOSES LAKE, WA 98837 | $12K |
| HUB INTERNATIONAL NW NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 200 1ST AVE SEATTLE, WA 98119 | $11K |
| ANASTASI MOORE & MARTIN PLLC EIN 20-8149084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $11K |
| AXIS INSURANCE LLC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 795 FRANKLIN AVE FRANKLIN LAKES, NJ 07417 | $11K |
| JOURNAL OF BUSINESS NONE | Other services; Direct payment from the plan Service code 49 | 429 E 3RD AVE SPOKANE, WA 99202 | $10K |
| WHEAT & ASSOCIATES INS INC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 1306 N POST ST SPOKANE, WA 99201 | $10K |
| MITCHELL, REED & SCHMITTEN INS INC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 124 PENNY RD WENATCHEE, WA 98801 | $10K |
| PRO BENEFITS OF WA NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 3131 WESTERN AVE SEATTLE, WA 98121 | $9K |
| SERVCO PACIFIC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 800 FIFTH AVENUE SEATTLE, WA 98104 | $9K |
| WA HEALTH INSURANCE AGENCY NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 222 LEE ST OLYMPIA, WA 98501 | $9K |
| CHS INSURANCE SERVICES LLC NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 5500 CENEX DRIVE INVER GROVE HEIGHTS, MN 55077 | $9K |
| ROBERTA A STRICKER NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 2403 E 2860 S SAINT GEORGE, UT 84790 | $9K |
| TERRIL, LEWIS & WILKE INS INC NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 112 S 4TH ST YAKIMA, WA 98901 | $8K |
| DEGGINGER MCINTOSH & ASSOCIATE INC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 3977 HARBOUR POINTE BLVD MUKILTEO, WA 98275 | $8K |
| PAC-12 ENTERPRISESLLC NONE | Other services; Direct payment from the plan Service code 49 | 360 3RD ST THIRD FLOOR SAN FRANCISCO, CA 94107 | $7K |
| RL EVANS CO INC NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 3535 FACTORIA BLVD BELLEVUE, WA 98006 | $7K |
| BROWN & BROWN OF SEATTLE NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 1501 4TH AVE SEATTLE, WA 98101 | $6K |
| INSURANCE AND FINANCIAL CONSULTANTS NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 800 AVENUE C KATY, TX 77493 | $6K |
| WELLS FARGO INSURANCE SERVICES NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 520 PIKE ST SEATTLE, WA 98101 | $6K |
| COORDINATED BENEFITS NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 923 N PLUM GROVE RD SCHAUMBURG, IL 60173 | $6K |
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 | 1,467 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,471 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 1,506 | $8.9M |
| Dental | DELTA DENTAL OF WASHINGTON | 252 | $158K |
| Vision(4 contracts) | VISION SERVICE PLAN | 260 | $36K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 1,522 | $34K |
| Prescription drug | PREMERA BLUE CROSS | 1,506 | $8.9M |
| Other | LIFEMAP ASSURANCE COMPANY | 1,522 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,522 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.