| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BELL-ANDERSON AGENCY INC3 | — | REGENCE BLUESHIELD | $3K | — | $3K | 0.06% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF WA-SEATTLE | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.03% |
| TRUTINA FINANCIAL, LLC3 Filed as: TRUTINA FINANCIAL INC | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| EVERGREEN INSURANCE3 Filed as: EVERGREEN INSURANCE GROUP | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.02% |
| FORTIPHI LLC3 | — | REGENCE BLUESHIELD | $680 | — | $680 | 0.01% |
| BENEFITS RESOURCE GROUP3 Filed as: BENEFITS RESOURCE GROUP INC | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.00% |
| AXIS INSURANCE LLC3 | — | REGENCE BLUESHIELD | $240 | — | $240 | 0.00% |
| PSG WASHINGTON INC3 | — | REGENCE BLUESHIELD | $240 | — | $240 | 0.00% |
| MANNA INSURANCE GROUP LLC3 | — | REGENCE BLUESHIELD | $240 | — | $240 | 0.00% |
| RICE INSURANCE LLC3 Filed as: RICE INSURANCE | — | REGENCE BLUESHIELD | $200 | — | $200 | 0.00% |
| PATRICK J. CONROY3 Filed as: PATRICK J CONROY INSURANCE | — | REGENCE BLUESHIELD | $140 | — | $140 | 0.00% |
| CUMMINGS FRASER & ASSOCIATES, LLC3 Filed as: CUMMINGS FRASER & ASSOCIATES LLC | — | REGENCE BLUESHIELD | $100 | — | $100 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC - SPOKANE | — | ASURIS NORTHWEST HEALTH | $3K | — | $3K | 0.20% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AIMS EIN 91-1485366 MEMBER ORGANIZATION | Contract Administrator Service code 13 | 1206 N LINCOLN SUITE 200 SPOKANE, WA 99201 | $199K |
| ABD INSURANCE AND FINANCIAL SERVICE EIN 27-0673528 | Consulting (general) Service code 16 | 3 WATERS PARK DR STE 100 SAN MATEO, CA 94403 | $167K |
| GHB INC EIN 91-0639776 | Insurance agents and brokers Service code 22 | PO BOX 1608 OLYMPIA, WA 98507 | $80K |
| AIIN EIN 91-0131100 MEMBER ORGANIZATION | Other services Service code 49 | 1206 N LINCOLN SUITE 200 SPOKANE, WA 99201 | $63K |
| PAYNEWEST INSURANCE, INC. EIN 81-0479558 | Insurance agents and brokers Service code 22 | 501 N RIVERPOINT BLVD, ST SPOKANE, WA 99202 | $44K |
| ALLIANT INSURANCE SERVICES INC. EIN 33-0785439 | Insurance agents and brokers Service code 22 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | $43K |
| ASSURED PARTNERS OF WASHINGTON LLC EIN 38-3942963 | Insurance agents and brokers Service code 22 | 1325 FOURTH AVE STE 2100 SEATTLE, WA 98101 | $41K |
| CONOVER INSURANCE SERVICES EIN 91-1953703 | Insurance agents and brokers Service code 22 | PO BOX 10088 YAKIMA, WA 98908 | $26K |
| THE PARTNERS GROUP FIDELITY BOND | Insurance services Service code 23 | 11125 SE 6TH ST SOUTE 110 BELLEVUE, WA 98004 | $18K |
| DESERT INSURANCE BENEFITS EIN 91-0756278 | Insurance agents and brokers Service code 22 | 1006 WET IY MOSES LAKE, WA 98837 | $15K |
| HUB INTERNATIONAL EIN 91-2036015 | Insurance agents and brokers Service code 22 | 12100 NE 195TH ST SUITE B BOTHELL, WA 98011 | $14K |
| DINGUS, ZARECOR & ASSOCIATES PLLC EIN 20-0079326 PLAN AUDITOR | Accounting (including auditing) Service code 10 | 12015 E MAIN AVE SPOKANE VALLEY, WA 99206 | $14K |
| MADDOCK & ASSOCIATES EIN 91-1280409 | Insurance agents and brokers Service code 22 | 1407 WILLOW ROAD E STE C FIFE, WA 98424 | $14K |
| OLYMPIC CREST INSURANCE EIN 91-1717576 | Insurance agents and brokers Service code 22 | PO BOX 2538 GIG HARBOR, WA 98335 | $13K |
| ARMFIELD, HARRISON & THOMAS INC. EIN 54-0654623 | Insurance agents and brokers Service code 22 | 20 SOUTH KING ST LEESBURG, VA 20175 | $11K |
| KELLER ROHRBACK LLP EIN 91-0563405 INDEPENDENT FIDUCIARY | Trustee (discretionary) Service code 24 | 1202 3RD AVENUE STE 3200 SEATTLE, WA 98101 | $10K |
| BELL-ANDERSON AGENCY, INC. EIN 91-0756278 | Insurance agents and brokers Service code 22 | 600 SW 39TH ST, SUITE 200 RENTON, WA 98057 | $10K |
| TRUTINA FINANCIAL LLC EIN 47-0995939 | Insurance agents and brokers Service code 22 | 10811 MAIN STREET BELLEVUE, WA 98004 | $9K |
| RL EVANS COMPANY, INC. EIN 91-0849754 | Insurance agents and brokers Service code 22 | 3535 FACTORIA BLVD SE, ST BELLEVUE, WA 98006 | $9K |
| HEMINGWAY LAW PLLC EIN 84-1858868 | Legal Service code 29 | 1314 WEST 8TH AVENUE SPOKANE, WA 99204 | $8K |
| EVERGREEN INSURANCE GROUP | Insurance agents and brokers Service code 22 | 704 228TH AVENUE NE 713 SAMMAMISH, WA 98074 | $8K |
| GROUP SOLUTIONS NORTHWEST , LLC EIN 91-2158338 | Insurance agents and brokers Service code 22 | 7511 SE 76TH ST MERCER ISLAND, WA 98040 | $8K |
| FORTIPHI, LLC EIN 91-1743499 | Insurance agents and brokers Service code 22 | PO BOX 1547 MOUNT VERNON, WA 98273 | $8K |
| MORAN BENEFIT ADVISORS, INC. EIN 61-1581966 | Insurance agents and brokers Service code 22 | 9631 N NEVADA ST, 309 SPOKANE, WA 99218 | $7K |
| U S INSURANCE SOLUTIONS | Insurance agents and brokers Service code 22 | 2843 238TH AVE SE SAMMAMISH, WA 98075 | $6K |
| POINTGUARD FINANCIAL | Accounting (including auditing) Service code 10 | 420 N EVERGREEN SUITE 100 SPOKANE VALLEY, WA 99216 | $5K |
| RICE INSURANCE LLC EIN 30-0025352 | Insurance agents and brokers Service code 22 | 1400 BROADWAY BELLINGHAM, WA 98225 | $5K |
| CHAD J PHILIP | Insurance agents and brokers Service code 22 | 430 NORTH PINE STREET ELLENSBURG, WA 98926 | $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 | 1,433 | 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) | 1,433 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,111 | $7.0M |
| Dental | DELTA DENTAL OF WASHINGTON | 958 | $431K |
| Vision | VISION SERVICE PLAN | 552 | $47K |
| Life insurance | STANDARD INSURANCE COMPANY | 828 | $40K |
| Short-term disability | STANDARD INSURANCE COMPANY | 10 | $7K |
| Long-term disability | STANDARD INSURANCE COMPANY | 15 | $5K |
| Prescription drug(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,111 | $7.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,111 | — |
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.