No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Other fees; Claims processing; Direct payment from the plan Service code 12 | — | $2.1M |
| NORTHWEST ADMINISTRATORS INC EIN 91-0680697 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $224K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621478 NONE | Claims processing; Direct payment from the plan; Insurance services Service code 12 | — | $139K |
| WITHUMSMITH+BROWN PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $93K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan; Insurance agents and brokers Service code 16 | — | $52K |
| MONDRESS MONACO PARR LOCKWOOD PLLC EIN 91-1917286 NONE | Legal; Direct payment from the plan Service code 29 | — | $46K |
| ESI EIN 22-3461740 NONE | Other fees Service code 99 | — | $44K |
| SELLWOOD INVESTMENT PARTNERS LLC EIN 80-0827237 NONE | Direct payment from the plan; Investment advisory (plan); Consulting (pension) Service code 17 | — | $35K |
| ABRACADABRA PRINTING NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 11621 E. MARGINAL WAY S., STE. B TUKWILA, WA 98168 | $13K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $13K |
| U.S. BANK EIN 31-0841368 NONE | Soft dollars commissions; Custodial (securities); Float revenue; Direct payment from the plan Service code 19 | — | $7K |
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 | 3,257 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,259 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | LIFEMAP ASSURANCE COMPANY | 3,241 | $285K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 3,241 | $285K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 3,260 | $1.1M |
| Other | LIFEMAP ASSURANCE COMPANY | 3,241 | $285K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,260 | — |
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.