| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS/MCM | 1325 4TH AVE SUITE 2100 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC, | $19K | — | $19K | 0.70% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS/MCM | 1325 FOURTH AVE SUITE 2100 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $4K | — | $4K | 0.83% |
| ASSUREDPARTNERS3 | 1325 4TH AVE STE 2100 SEATTLE, WA 981012572 | VISION SERVICE PLAN | $2K | — | $2K | 4.29% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 8.27% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 7.87% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 8.45% |
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 | 236 | 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) | 236 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC, | 185 | $3.1M |
| Dental | DELTA DENTAL OF WA | 230 | $288K |
| Vision | VISION SERVICE PLAN | 220 | $36K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 236 | $47K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 235 | $33K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC, | 185 | $3.1M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 236 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.