| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NORTHEAST 195TH STREET SUITE 200 BOTHELL, WA 98011 | LIFEMAP ASSURANCE COMPANY | $17K | $483 | $17K | 13.74% |
| JOSEPH FOXLEY3 Filed as: JOSEPH P. FOXLEY | 2660 RAINIER PLACE WEST LINN, OR 97068 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | $0 | $7K | 11.17% |
| BRYAN G CORBIN LLC3 Filed as: BRYAN G. CORBIN LLC | 8612 WEST MARY ANN DRIVE PEORIA, AZ 85382 | CONTINENTAL AMERICAN INSURANCE COMPANY | $630 | $0 | $630 | 0.97% |
| SUSAN B. WRIGHT3 | 4923 LAKERIDGE DRIVE LAKE TAPPS, WA 98391 | CONTINENTAL AMERICAN INSURANCE COMPANY | $413 | $0 | $413 | 0.64% |
| CHARLES H WEISSBERGER3 Filed as: CHARLES H. WEISSBERGER | 3100 WEST ROAD, SUITE 300 EAST LANSING, MI 48823 | CONTINENTAL AMERICAN INSURANCE COMPANY | $232 | $0 | $232 | 0.36% |
| BRYAN G CORBIN LLC3 Filed as: BRYAN G. CORBIN LLC | UNKNOWN LAKE OSWEGO, OR 97035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $153 | $0 | $153 | 0.24% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | 600 SOUTH WEST 39TH STREET SUITE 200 RENTON, WA 98057 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$4 | $0 | -$4 | -0.01% |
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 | 393 | 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) | 393 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | LIFEMAP ASSURANCE COMPANY | 440 | $125K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 440 | $125K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 440 | $125K |
| Other(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 440 | $190K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 440 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.