| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 Filed as: WELLS FARGO INSURANCE SERVICES USA | — | REGENCE BLUESHIELD | $3K | — | $3K | 0.06% |
| STILLWATER BENEFITS LLC3 | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| BURNLEY H WILSON ASSOCIATES3 Filed as: BURNLEY H WILSON ASSOCIATES INC | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| J FRANKLAND EMPLOYEE BENEFIT SVCS.3 Filed as: J FRANKLAND EMPLOYEE BENEFITS SVCS | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| AXIS INSURANCE LLC3 | — | REGENCE BLUESHIELD | $660 | — | $660 | 0.02% |
| GHB INC3 | — | REGENCE BLUESHIELD | $600 | — | $600 | 0.01% |
| CLEARWATER BENEFITS LLC3 Filed as: CLEARWATER INSURANCE SERVICES INC | — | REGENCE BLUESHIELD | $520 | — | $520 | 0.01% |
| ABD INS. AND FINANCIAL SVCS., INC.3 Filed as: ABD INSURANCE & FINANCIAL SERVICES | — | REGENCE BLUESHIELD | $400 | — | $400 | 0.01% |
| LLOYDS LIFE SALES INC3 | — | REGENCE BLUESHIELD | $320 | — | $320 | 0.01% |
| JEFF DALABA3 Filed as: JEFF HOLMAN INSURANCE | — | REGENCE BLUESHIELD | $260 | — | $260 | 0.01% |
| MCDONALD INSURANCE GROUP, INC3 Filed as: MCDONALD INSURANCE GROUP INC | — | REGENCE BLUESHIELD | $200 | — | $200 | 0.00% |
| R.L. EVANS COMPANY, INC.3 Filed as: R L EVANS COMPANY INC | — | REGENCE BLUESHIELD | $200 | — | $200 | 0.00% |
| THE VITOLO COMPANY3 | — | REGENCE BLUESHIELD | $140 | — | $140 | 0.00% |
| CORKERY AND JONES BENEFITS, INC.3 Filed as: CORKERY & JONES BENEFITS INC | — | ASURIS NORTHWEST HEALTH | $1K | — | $1K | 0.25% |
| STONEBRAKER MCQUARY AGENCY GROUP IN3 Filed as: STONEBRAKER MCQUARY AGENCY GROUP | — | ASURIS NORTHWEST HEALTH | $360 | — | $360 | 0.08% |
| MOLONEY & ONEILL LIFE INC3 Filed as: MOLONEY & O'NEILL LIFE INC | — | ASURIS NORTHWEST HEALTH | $340 | — | $340 | 0.07% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | — | ASURIS NORTHWEST HEALTH | $160 | — | $160 | 0.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AIMS EIN 91-1485366 MEMBER ORGANIZATION | Plan Administrator Service code 14 | 1206 N LINCOLN SUITE 200 SPOKANE, WA 99201 | $218K |
| WELLS FARGO INSURANCE SERVICES USA EIN 91-0971685 | Consulting (general) Service code 16 | PO BOX 203588 DALLAS, TX 75320 | $89K |
| STILLWATER BENEFITS, LLC EIN 47-4944052 | Insurance agents and brokers Service code 22 | 23515 NE NOVELTY HILL B21 MERCER ISLAND, WA 98053 | $42K |
| CENTURY INSURANCE GROUP, LLC EIN 91-1193195 | Insurance agents and brokers Service code 22 | 572 SW BLUFF DR, STE 100 BEND, OR 97702 | $26K |
| MADDOCK & ASSOCIATES EIN 91-1280409 | Insurance agents and brokers Service code 22 | 1407 WILLOW ROAD E STE C FIFE, WA 98424 | $20K |
| ABD INSURANCE AND FINANCIAL SERVICE | Consulting (general) Service code 16 | 3 WATERS PARK DR STE 100 SAN MATEO, CA 94403 | $20K |
| CLEARVIEW INSURANCE SERVICES INC. EIN 46-0598462 | Insurance agents and brokers Service code 22 | 1420 NW GILMAN BLVD 2116 ISSAQUAH, WA 98027 | $20K |
| PAYNEWEST INSURANCE, INC. EIN 81-0479558 | Insurance agents and brokers Service code 22 | 501 N RIVERPOINT, STE 403 SPOKANE, WA 99202 | $19K |
| HUB INTERNATIONAL EIN 91-2036015 | Insurance agents and brokers Service code 22 | 12100 NE 195TH ST SUITE B BOTHELL, WA 98011 | $14K |
| PUGET SOUND BENEFIT SERVICES EIN 46-3291059 | Insurance agents and brokers Service code 22 | 601 UNION ST STE 2500 SEATTLE, WA 98101 | $13K |
| CUMMINGS, FRASER ASSOCIATES, LLC EIN 68-0609841 | Insurance agents and brokers Service code 22 | 3201 FIRST AVE, SUITE 108 SEATTLE, WA 98134 | $13K |
| STONEBRAKER MCQUARY INSURANCE EIN 91-1665933 | Insurance agents and brokers Service code 22 | 616 5TH STREET CLARKSTON, WA 99402 | $12K |
| GROUP SERVICES NORTHWEST EIN 91-1193591 | Insurance agents and brokers Service code 22 | 1919 N PEARL ST, SUITE B3 TACOMA, WA 98406 | $12K |
| ALLIANT INSURANCE SERVICES INC. EIN 33-0785439 | Insurance agents and brokers Service code 22 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | $12K |
| BROWN & BROWN OF WA EIN 91-0378940 | Insurance agents and brokers Service code 22 | 1501 4TH AVE, SUITE 2400 SEATTLE, WA 98101 | $10K |
| GHB INC EIN 91-0639776 | Insurance agents and brokers Service code 22 | PO BOX 1608 OLYMPIA, WA 98507 | $10K |
| COLIN F SAMUELSON II EIN 47-5807413 | Insurance agents and brokers Service code 22 | 2032 160TH STREET SW LYNNWOOD, WA 98087 | $8K |
| SCHOEDEL & SCHOEDEL CPAS PLLC EIN 91-0614823 | Accounting (including auditing) Service code 10 | 422 W RIVERSIDE AVE 1420 SPOKANE, WA 99201 | $8K |
| LARRY BARKEN | Insurance agents and brokers Service code 22 | 81580 RANCHO SANTANA DRIV LAQUINTA, CA 92253 | $7K |
| THE VITOLO COMPANY EIN 91-2032673 | Insurance agents and brokers Service code 22 | 1201 1ST AVE SOUTH SUITE SEATTLE, WA 98134 | $5K |
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 | 1,082 | 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) | 1,082 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 976 | $4.5M |
| Dental | DELTA DENTAL OF WASHINGTON | 334 | $142K |
| Vision | VISION SERVICE PLAN | 338 | $17K |
| Life insurance | STANDARD LIFE INSURANCE | 686 | $25K |
| Prescription drug(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 976 | $4.5M |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 976 | $4.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 976 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.