| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 3018 BOTHELL, WA 98041 | UNITEDHEALTHCARE INSURANCE COMPANY | $79K | $0 | $79K | 4.95% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NE 195TH STREET, SUITE 200 BOTHELL, WA 98041 | LIFEMAP ASSURANCE COMPANY | $4K | $0 | $4K | 9.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NE 195TH STREET, SUITE 200 BOTHELL, WA 98011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 12.45% |
| SUSAN B. WRIGHT3 | 4923 LAKERIDGE DRIVE EAST LAKE TAPPS, WA 98391 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 12.13% |
| CHARLESH. WEISSBERGER3 | 3100 WEST ROAD, SUITE 300 EAST LANSING, MI 48823 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 5.04% |
| KYONG H. GOINS3 | 2931 1ST AVENUE, SUITE A SEATTLE, WA 98134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 3.44% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC. | 600 SW 39TH STREET, SUITE 200 RENTON, WA 98057 | CONTINENTAL AMERICAN INSURANCE COMPANY | $499 | $0 | $499 | 1.63% |
| BRANDON PENKO3 Filed as: BRANDON C. HOOBLER | 1230 SOUTH 336TH STREET, SUITE A FEDERAL WAY, WA 98003 | CONTINENTAL AMERICAN INSURANCE COMPANY | $215 | $0 | $215 | 0.70% |
| VICTORIA LINDSAY AND OTHER AGENTS3 | 1179 GOLF CLUB ROAD STATESBORO, GA 30458 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | $0 | $13 | 0.04% |
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 | 219 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 219 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 264 | $1.6M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 264 | $1.6M |
| Vision | LIFEMAP ASSURANCE COMPANY | 214 | $44K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 214 | $44K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 214 | $44K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 264 | $1.6M |
| Other(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 233 | $75K |
| 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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.