| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WA LLC DBA MCM | 1325 4TH AVE. STE. 2100 SEATTLE, WA 98101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $9K | $9K | 2.59% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WA, LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $999 | $999 | 3.37% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON, LLC | 1325 4TH AVE. STE. 2100 SEATTLE, WA 98101 | VISION SERVICE PLAN | $1K | — | $1K | 4.94% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 6.63% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.53% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $969 | $969 | 7.02% |
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 | 188 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 188 | $332K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 188 | $332K |
| Vision | VISION SERVICE PLAN | 168 | $26K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 176 | $31K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 176 | $30K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 176 | $24K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 188 | $332K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 176 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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."
No prospect flags tripped on this filing.