| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC DBA DIMART | 1325 FOURTH AVE, SUITE 1705 SEATTLE, WA 98101 | THE UNION LABOR LIFE INSURANCE COMPANY | $41K | — | $41K | 2.00% |
| LABOR FIRST LLC5 Filed as: LABOR-FIRST LLC | 1000 MIDLANTIC DRIVE STE 100 MOUNT LAUREL, NJ 080541513 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 0.20% |
| LABOR FIRST LLC5 | 3000 MIDLANTIC DRIVE STE 101 MT LAUREL, NJ 080541513 | TRANSAMERICA LIFE INSURANCE COMPANY | $6K | — | $6K | 8.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROWN & BROWN OF WA DBA DIMARTINO EIN 91-1473578 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance services; Insurance brokerage commissions and fees; Direct payment from the plan; Consulting fees; Insurance agents and brokers; Finders' fees / placement fees; Consulting (general) Service code 15 | — | $2.0M |
| REGENCE BLUESHIELD EIN 91-0282080 NONE | Direct payment from the plan; Accounting (including auditing); Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing; Other commissions; Participant communication; Copying and duplicating Service code 10 | — | $1.6M |
| BRIGHTON HEALTH SOLU DBA MAGNACARE EIN 11-3410766 NONE | Other services; Non-monetary compensation; Claims processing; Insurance brokerage commissions and fees; Direct payment from the plan; Contract Administrator; Float revenue Service code 12 | — | $1.3M |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Copying and duplicating; Accounting (including auditing); Recordkeeping fees; Other commissions; Participant communication; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $568K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Participant communication; Recordkeeping fees; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Accounting (including auditing); Copying and duplicating Service code 10 | — | $267K |
| AFLAC (AMERICAN FAMILY LIFE ASSURAN EIN 82-2723296 NONE | Copying and duplicating; Direct payment from the plan; Accounting (including auditing); Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Recordkeeping fees Service code 10 | — | $173K |
| BROWN & BROWN OF CONNECTICUT, INC. NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | 55 CAPITAL BLVD, SUITE 102 ROCKY HILL, CT 06067 | $149K |
| IAFF FINANCIAL CORPORATION NONE | Consulting fees; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | 1750 NEW YORK AVE NW WASHINGTON, DC 20006 | $76K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Accounting (including auditing); Participant communication; Direct payment from the plan; Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Contract Administrator Service code 10 | — | $67K |
| WEST HEALTH ADVOCATE SOLUTIONS, INC EIN 23-3080019 NONE | Plan Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $62K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan; Consulting (general) Service code 16 | — | $41K |
| SCHOEDEL & SCHOEDEL, CPAS, PLLC EIN 91-0614823 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $27K |
| HIGHLAND CAPITAL ADVISORS, LLC EIN 20-4284376 NONE | Investment management fees paid directly by plan; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $15K |
| HEALTH CARE COST MANAGEMENT CORP EIN 94-3283661 NONE | Direct payment from the plan; Contract Administrator; Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Other services; Participant communication Service code 13 | — | $11K |
| EPIC HEARING EIN 95-4660712 NONE | Accounting (including auditing); Contract Administrator; Participant communication; Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Recordkeeping fees Service code 10 | — | $8K |
| WEST COAST BUSINESS GRAPHICS EIN 91-2182455 NONE | Direct payment from the plan; Participant communication; Copying and duplicating Service code 36 | — | $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 | 3,828 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 619 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,447 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 4,032 | $3.3M |
| Dental | WILLAMETTE DENTAL OF WASHINGTON, INC. | 45 | $18K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,615 | $144K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 4,032 | $2.0M |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 3,615 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,032 | — |
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.