| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GHB INC3 | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.04% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF WA-SEATTLE | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.04% |
| MADDOCK & ASSOCIATES LLC3 Filed as: MADDOCK & ASSOCIATES | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.04% |
| JOHNSTON, JEFFERY J3 | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | — | REGENCE BLUESHIELD | $720 | — | $720 | 0.02% |
| DEGGINGER MCINTOSH & ASSOCIATES INC3 | — | REGENCE BLUESHIELD | $660 | — | $660 | 0.01% |
| GCG FINANCIAL LLC3 Filed as: WILSON ALBERS AN ALERA GROUP AGENCY | — | REGENCE BLUESHIELD | $520 | — | $520 | 0.01% |
| ARNOLD INSURANCE SERVICES INC3 Filed as: ARNOLD & SMITH INSURANCE AGENCY INC | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.01% |
| PATRICK J. CONROY3 Filed as: PATRICK J CONROY INSURANCE | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.01% |
| MADDOCK & ASSOCIATES LLC3 | — | REGENCE BLUESHIELD | $240 | — | $240 | 0.01% |
| BELL-ANDERSON AGENCY INC3 | — | REGENCE BLUESHIELD | $200 | — | $200 | 0.00% |
| BENEFITS RESOURCE GROUP3 Filed as: BENEFITS RESOURCE GROUP INC | — | REGENCE BLUESHIELD | $180 | — | $180 | 0.00% |
| CUMMINGS FRASER & ASSOCIATES, LLC3 Filed as: CUMMINGS FRASER & ASSOCIATES LLC | — | REGENCE BLUESHIELD | $160 | — | $160 | 0.00% |
| INOVA LLC3 | — | REGENCE BLUESHIELD | $160 | — | $160 | 0.00% |
| THE VITOLO COMPANY3 | — | REGENCE BLUESHIELD | $120 | — | $120 | 0.00% |
| B & F INSURANCE LLC3 Filed as: B&F INSURANCE LLC | — | REGENCE BLUESHIELD | $100 | — | $100 | 0.00% |
| TRUTINA FINANCIAL, LLC3 Filed as: TRUTINA FINANCIAL INC | — | REGENCE BLUESHIELD | $100 | — | $100 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC - SPOKANE | — | ASURIS NORTHWEST HEALTH | $1K | — | $1K | 0.07% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | — | ASURIS NORTHWEST HEALTH | $660 | — | $660 | 0.04% |
| PHILIP RUGGIERI3 Filed as: PHILIP, CHAD | — | ASURIS NORTHWEST HEALTH | $560 | — | $560 | 0.04% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | — | ASURIS NORTHWEST HEALTH | $440 | — | $440 | 0.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC - NON RES | — | ASURIS NORTHWEST HEALTH | $320 | — | $320 | 0.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AIMS EIN 91-1485366 MEMBER ORGANIZATION | Plan Administrator Service code 14 | 1206 N LINCOLN SUITE 200 SPOKANE, WA 99201 | $252K |
| ABD INSURANCE AND FINANCIAL SERVICE EIN 27-0673528 | Consulting (general) Service code 16 | 3 WATERS PARK DR STE 100 SAN MATEO, CA 94403 | $154K |
| AIIN EIN 91-0131100 MEMBER ORGANIZATION | Plan Administrator Service code 14 | 1206 N LINCOLN SUITE 200 SPOKANE, WA 99201 | $58K |
| GHB INC EIN 91-0639776 | Insurance agents and brokers Service code 22 | PO BOX 1608 OLYMPIA, WA 98507 | $52K |
| ASSURED PARTNERS OF WASHINGTON LLC EIN 38-3942963 | Insurance agents and brokers Service code 22 | 1325 FOURTH AVE STE 2100 SEATTLE, WA 98101 | $34K |
| ALLIANT INSURANCE SERVICES INC. EIN 33-0785439 | Insurance agents and brokers Service code 22 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | $32K |
| PAYNEWEST INSURANCE, INC. EIN 81-0479558 | Insurance agents and brokers Service code 22 | 501 N RIVERPOINT BLVD, ST SPOKANE, WA 99202 | $30K |
| JEFFERY J. JOHNSTON EIN 53-8547117 | Insurance agents and brokers Service code 22 | 1425 LAKESIDE CT YAKIMA, WA 98902 | $27K |
| IAN MITZ EIN 53-9084763 | Insurance agents and brokers Service code 22 | 201 N EDISON ST SUITE 233 KENNEWICK, WA 99336 | $26K |
| ARMFIELD, HARRISON & THOMAS INC. EIN 54-0654623 | Insurance agents and brokers Service code 22 | 20 SOUTH KING ST LEESBURG, VA 20175 | $18K |
| PARKER, SMITH AND FEEK, INC. EIN 91-0660018 | Insurance agents and brokers Service code 22 | 2233 112TH AVENUE NE BELLEVUE, WA 98004 | $14K |
| DINGUS, ZARECOR & ASSOCIATES PLLC EIN 20-0079326 PLAN AUDITOR | Accounting (including auditing) Service code 10 | 12015 E MAIN AVE SPOKANE VALLEY, WA 99206 | $13K |
| MADDOCK & ASSOCIATES EIN 91-1280409 | Insurance agents and brokers Service code 22 | 1407 WILLOW ROAD E STE C FIFE, WA 98424 | $13K |
| DIGITAL INSURANCE INC. EIN 58-2522668 | Insurance agents and brokers Service code 22 | 200 GALLERIA PARKWAY SE ATLANTA, GA 30339 | $13K |
| DEGGINGER MCINTOSH & ASSOCIATES INC EIN 91-0751907 | Insurance agents and brokers Service code 22 | PO BOX 1400 MUKILTEO, WA 98275 | $11K |
| CONOVER INSURANCE SERVICES EIN 91-1953703 | Insurance agents and brokers Service code 22 | PO BOX 10088 YAKIMA, WA 98908 | $11K |
| HEALTH INSURANCE TEAM LLC EIN 45-1565934 | Insurance agents and brokers Service code 22 | 4117 43RD AVE NE SEATTLE, WA 98105 | $10K |
| HUB INTERNATIONAL EIN 91-2036015 | Insurance agents and brokers Service code 22 | 12100 NE 195TH ST SUITE B BOTHELL, WA 98011 | $9K |
| BENEFITS RESOURCE GROUP, INC. EIN 91-1910698 | Insurance agents and brokers Service code 22 | PO BOX 1028 BELLEVUE, WA 98009 | $7K |
| WILSON ALBERS AN ALERA GROUP AGENCY EIN 82-3775054 | Insurance agents and brokers Service code 22 | 3000 A STREET SUITE 400 ANCHORAGE, AK 99503 | $6K |
| EBENEFITS CONSULTING GROUP, LLC EIN 20-8629593 | Insurance agents and brokers Service code 22 | 22450 SE 296TH STREET BLACK DIAMOND, WA 98010 | $6K |
| WALLINGFORD FINANCIAL SERVICES, INC EIN 71-0907082 | Insurance agents and brokers Service code 22 | 236 SW 171ST STREET SEATTLE, WA 98101 | $6K |
| RL EVANS COMPANY, INC. EIN 91-0849754 | Insurance agents and brokers Service code 22 | 3535 FACTORIA SE, STE 120 BELLEVUE, WA 98006 | $6K |
| ARNOLD & SMITH INSURANCE AGENCY INC EIN 91-1289320 | Insurance agents and brokers Service code 22 | P.O. BOX L SHELTON, WA 98584 | $6K |
| CHAD J PHILIP | Insurance agents and brokers Service code 22 | 430 NORTH PINE STREET ELLENSBURG, WA 98926 | $6K |
| CUMMINGS, FRASER ASSOCIATES, LLC EIN 68-0609841 | Insurance agents and brokers Service code 22 | 3201 FIRST AVE, SUITE 108 SEATTLE, WA 98134 | $5K |
| MORAN BENEFIT ADVISORS, INC. EIN 61-1581966 | Insurance agents and brokers Service code 22 | 9631 N NEVADA ST, 309 SPOKANE, WA 99218 | $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 | 1,470 | 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) | 1,470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,151 | $6.3M |
| Dental | DELTA DENTAL OF WASHINGTON | 819 | $474K |
| Vision | VISION SERVICE PLAN | 691 | $36K |
| Life insurance | STANDARD INSURANCE COMPANY | 637 | $28K |
| Short-term disability | STANDARD INSURANCE COMPANY | 11 | $8K |
| Long-term disability | STANDARD INSURANCE COMPANY | 13 | $5K |
| Prescription drug(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,151 | $6.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,151 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.