| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY (WESTERN STATES) INC | 180 HOWARD STREET SUITE 1100 SAN FRANCISCO, CA 941051617 | HCC LIFE INSURANCE COMPANY | $25K | — | $25K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $231K |
| REHN & ASSOCIATES EIN 91-1008626 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $188K |
| THE SEGAL COMPANY, INC. EIN 94-1503999 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $81K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $67K |
| TURNER, STOEVE & GAGLIARDI, P.S. EIN 91-1282506 NONE | Legal; Direct payment from the plan Service code 29 | — | $52K |
| WASHINGTON TRUST BANK EIN 91-0462347 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $15K |
| THE PACIFIC HEALTH COALITION EIN 92-0116216 NONE | Other services; Direct payment from the plan Service code 49 | — | $10K |
| LAWTON PRINTING EIN 91-0633228 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $7K |
| UNITED CLAIMS SOLUTIONS, LLC EIN 81-5130313 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $5K |
| VERUS EIN 91-0462347 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $5K |
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 | 760 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 55 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 815 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 823 | $307K |
| Dental | DELTA DENTAL OF WASHINGTON | 1,904 | $726K |
| Vision | VISION SERVICE PLAN | 799 | $88K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 771 | $38K |
| Other(3 contracts, 3 carriers) | HCC LIFE INSURANCE COMPANY | 823 | $656K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,904 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.