| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BELL-ANDERSON AGENCY INC3 | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $35K | — | $35K | 11.21% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INSURAN | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $3K | $11K | 9.94% |
| GA SOLUTIONS LLC3 | 311 CLOCK TOWER CMNS BREWSTER, NY 10509 | PRINCIPAL LIFE INSURANCE COMPANY | — | $5K | $5K | 4.04% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL-ANDERSON AGENCY, INC | ATTN KATHY WATSON 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 2.95% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | — | $575 | $575 | 0.51% |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 139 | $310K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 151 | $112K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 151 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.