| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROPEL INSURANCE3 | 601 UNION STREET, SUITE 3400 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC | $32K | $0 | $32K | 5.00% |
| PROPEL INSURANCE3 | 601 UNION STREET, SUITE 3400 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $19K | $0 | $19K | 5.06% |
| PROPEL INSURANCE3 | 601 UNION STREET, SUITE 3400 SEATTLE, WA 98101 | DELTA DENTAL OF WASHINGTON | $4K | $0 | $4K | 5.84% |
| PROPEL INSURANCE3 | 888 SW 5TH AVENUE, SUITE 1170 PORTLAND, OR 97204 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $5K | $0 | $5K | 11.00% |
| PROPEL INSURANCE AGENCY LLC3 | PO BOX 2940 TACOMA, WA 98401 | LIFEMAP ASSURANCE COMPANY | $8K | $0 | $8K | 20.00% |
| WORKSITE BENEFITS GROUP INC3 | 112 NW 114TH STREET VANCOUVER, WA 98685 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $3K | $3K | 10.00% |
| DON J. BRINK3 Filed as: DON BRINK | 1521 NORTHEAST 63RD AVENUE HILLSBORO, OR 97124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 4.19% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: PROPEL INSURACE AGENCY LLC | 1201 PACIFIC AVENUE, SUITE 1000 TACOMA, WA 98402 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 4.19% |
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 | 600 | 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) | 600 | 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 | 151 | $1.0M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WASHINGTON | 142 | $117K |
| Vision | VISION SERVICE PLAN | 169 | $20K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 161 | $39K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC | 151 | $1.0M |
| Other(3 contracts, 3 carriers) | LIFEMAP ASSURANCE COMPANY | 600 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 600 | — |
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.