| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO. | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $20K | $4K | $24K | 15.09% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | $1K | $18K | 11.25% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | DELTA DENTAL OF WASHINGTON | $4K | — | $4K | 2.61% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BEACH, VA 23466 | DELTA DENTAL OF WASHINGTON | $4K | — | $4K | 2.48% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO. | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $694 | $3K | 10.95% |
| EDGEWOOD PARNTERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $158 | $2K | 7.41% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BEACH, VA 234662949 | VISION SERVICE PLAN | $800 | — | $800 | 3.26% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 101809 PASADENA, CA 91189 | VISION SERVICE PLAN | $465 | — | $465 | 1.90% |
| AMERICAN BNFTS & COMP SYS INC3 | 101 PARK AVE 14TH FLOOR NEW YORK, NY 10178 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $443 | — | $443 | 2.70% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO. | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM INSURANCE COMPANY | $616 | $123 | $739 | 14.08% |
| EDGEWOOD PARNTERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | UNUM INSURANCE COMPANY | $171 | $9 | $180 | 3.43% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO. | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM INSURANCE COMPANY | $417 | $83 | $500 | 14.70% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | UNUM INSURANCE COMPANY | $94 | $5 | $99 | 2.91% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO. | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM INSURANCE COMPANY | $403 | $81 | $484 | 14.59% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | UNUM INSURANCE COMPANY | $95 | $5 | $100 | 3.01% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO. | PO BOX 62949 VIRGINIA BEACH, VA 23466 | FIRST UNUM LIFE INSURANCE COMPANY | $89 | $30 | $119 | 12.55% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1629 29TH PL SW BURIEN, WA 98166 | FIRST UNUM LIFE INSURANCE COMPANY | $53 | $4 | $57 | 6.01% |
No Schedule C service providers reported on this filing.
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 | 138 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WASHINGTON | 264 | $154K |
| Vision | VISION SERVICE PLAN | 125 | $25K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $202K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $161K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $160K |
| Other(7 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 142 | $218K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 264 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.