No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Direct payment from the plan; Claims processing; Other fees Service code 12 | — | $2.0M |
| NORTHWEST ADMINISTRATORS INC EIN 91-0680697 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $216K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621478 NONE | Insurance services; Claims processing; Direct payment from the plan Service code 12 | — | $141K |
| ESI EIN 22-3461740 NONE | Other fees Service code 99 | — | $54K |
| RAEL & LETSON EIN 94-1701048 NONE | Insurance agents and brokers; Consulting (general); Direct payment from the plan Service code 16 | — | $49K |
| WITHUMSMITH+BROWN PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $36K |
| SELLWOOD CONSULTING LLC EIN 80-0827237 NONE | Direct payment from the plan; Investment advisory (plan); Consulting (pension) Service code 17 | — | $30K |
| MONDRESS MONACO PARR LOCKWOOD PLLC EIN 91-1917286 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $20K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $12K |
| U.S. BANK EIN 31-0841368 NONE | Float revenue; Custodial (securities); Soft dollars commissions; Direct payment from the plan Service code 19 | — | $8K |
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 | 3,302 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,306 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFEMAP ASSURANCE COMPANY | 3,328 | $409K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 3,328 | $409K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 2,281 | $997K |
| Other | LIFEMAP ASSURANCE COMPANY | 3,328 | $409K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,328 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.