| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC - S | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.04% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.04% |
| KARIN ANGELIS3 Filed as: KARIN J MORRISON DBA EVERGREEN INSU | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF WASHINGTON LLC. | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.02% |
| GROUP SOLUTIONS NORTHWEST, LLC3 Filed as: GROUP SOLUTIONS NORTHWEST LLC. | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC - Y | — | REGENCE BLUESHIELD | $620 | — | $620 | 0.01% |
| PRO BENEFITS OF WASHINGTON LLC3 Filed as: PRO BENEFITS OF WASHINGTON LLC. | — | REGENCE BLUESHIELD | $600 | — | $600 | 0.01% |
| TERRIL LEWIS & WILKE INSURANCE INC.3 Filed as: TERRIL, LEWIS, & WILKE INSURANCE IN | — | REGENCE BLUESHIELD | $600 | — | $600 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | — | REGENCE BLUESHIELD | $560 | — | $560 | 0.01% |
| AFFILIATED BENEFIT CONSULTANTS3 Filed as: AFFILIATED SERVICES LLC | — | REGENCE BLUESHIELD | $520 | — | $520 | 0.01% |
| PAYCHEX INSURANCE AGENCY, INC.3 Filed as: PAYCHEX INSURANCE AGENCY INC | — | REGENCE BLUESHIELD | $420 | — | $420 | 0.01% |
| CLEARVIEW INSURANCE SERVICES INC.3 | — | REGENCE BLUESHIELD | $360 | — | $360 | 0.01% |
| MANNA INSURANCE GROUP LLC3 | — | REGENCE BLUESHIELD | $340 | — | $340 | 0.01% |
| MADDOCK & ASSOCIATES LLC3 Filed as: MADDOCK & ASSOCIATES LLC. | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.01% |
| PATRICK J. CONROY3 Filed as: PATRICK J. CONROY INSURANCE | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.01% |
| MORAN BENEFIT ADVISORS INC3 Filed as: MORAN BENEFIT ADVISORS INC. | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.01% |
| J FRANKLAND EMPLOYEE BENEFIT SVCS.3 Filed as: J FRANKLAND EMPLOYEE BENEFIT SERVIC | — | REGENCE BLUESHIELD | $200 | — | $200 | 0.00% |
| PCF INSURANCE SERVICES OF THE WEST Filed as: PCF INS SERVICES OF THE WEST LLC - | — | REGENCE BLUESHIELD | $180 | — | $180 | 0.00% |
| CUMMINGS FRASER & ASSOCIATES, LLC3 Filed as: CUMMINGS FRASER & ASSOCIATES LLC. | — | REGENCE BLUESHIELD | $100 | — | $100 | 0.00% |
| KRISTIN J QUINLAN3 Filed as: KRISTIN MANWARING INSURANCE ASSOCIA | — | REGENCE BLUESHIELD | $80 | — | $80 | 0.00% |
| WALLINGFORD FINANCIAL SERVICES INC3 Filed as: WALLINGFORD FINANCIAL SERVICES INC. | — | REGENCE BLUESHIELD | $40 | — | $40 | 0.00% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SVCS OF THE WEST LLC | — | REGENCE BLUESHIELD | — | $40 | $40 | 0.00% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL-ANDERSON AGENCY INC. | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| KARIN ANGELIS3 Filed as: KARIN J MORRISON DBA EVERGREEN INSU | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| OLYMPIC AGENCY INC3 Filed as: OLYMPIC CREST INSURANCE INC. | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| RICE INSURANCE LLC3 Filed as: RICE INSURANCE LLC. | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| VAULT INSURANCE & INVESTMENTS LLC3 Filed as: VAULT INSURANCE & IN VESTMENTS LLC. | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| WHITEFIELDS UNITED INSURANCE AGENCI3 | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| WASHINGTON HEALTH INSURANCE AGENCY3 | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| R.L. EVANS COMPANY, INC.3 Filed as: R. L. EVANS COMPANY INC. | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS. SERVICES INC. - MUKILT | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS. SERVICES INC. - SPOKAN | — | ASURIS NORTHWEST HEALTH | $2K | — | $2K | 0.13% |
| ARMFIELD HARRISON & THOMAS3 Filed as: ARMFIELD HARRISON & THOMAS LLC | — | ASURIS NORTHWEST HEALTH | $1K | — | $1K | 0.08% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC - SE | — | ASURIS NORTHWEST HEALTH | $920 | — | $920 | 0.06% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY LLC - MT | — | ASURIS NORTHWEST HEALTH | $280 | — | $280 | 0.02% |
| COORDINATED BENEFITS COMPANY LLC3 Filed as: COORDINATED BENEFITS LLC. | — | ASURIS NORTHWEST HEALTH | $240 | — | $240 | 0.02% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL-ANDERSON AGENCY INC. | — | ASURIS NORTHWEST HEALTH | $120 | — | $120 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AIMS EIN 91-1485366 MEMBER ORGANIZATION | Insurance agents and brokers; Contract Administrator; Legal Service code 13 | 1206 N, LINCOLN SUITE 200 SPOKANE, WA 99201 | $189K |
| ABD INSURANCE AND FINANCIAL SERVICE EIN 27-0673528 GROUP CONSULTING SERVICES | Insurance agents and brokers Service code 22 | 450. SANSOME STREET, STE. 300 SAN FRANCISCO, CA 94111 | $153K |
| AIIN EIN 91-0131100 NONE | Plan Administrator; Other services Service code 14 | — | $76K |
| BELL-ANDERSON AGENCY, INC. EIN 91-0756278 NONE | Insurance agents and brokers Service code 22 | 600 SW 30TH AVE. ST. BELLEVUE, WA 98057 | $52K |
| HUB INTERNATIONAL NORTHWEST LLC EIN 91-2036015 NONE | Insurance agents and brokers Service code 22 | 12100 NE. 195TH ST. SUITE B BOTHELL, WA 98011 | $50K |
| ALLIANT INSURANCE SERVICES INC. EIN 33-0785439 | Insurance agents and brokers Service code 22 | 701 B. STREET, 6TH FLOOR SAN DIEGO, CA 92101 | $44K |
| DIGITAL INSURANCE INC EIN 58-2522668 NONE | Insurance agents and brokers Service code 22 | — | $31K |
| ASSURED PARTNERS OF WASHINGTON LLC. EIN 38-3942963 NONE | Insurance agents and brokers Service code 22 | 1325 FOURT AVE. STE. 2100 SEATTLE, WA 98101 | $19K |
| ARMFIELD HARRISON & THOMAS INC EIN 54-0654623 NONE | Insurance agents and brokers Service code 22 | — | $13K |
| PAYCHEX INSURANCE AGENCY INC NONE | Insurance agents and brokers Service code 22 | 225 KENNETH DRIVE ROCHESTER, NY 14623 | $13K |
| ANASTASI MOORE MARTIN EIN 20-8149084 NONE | Accounting (including auditing) Service code 10 | — | $13K |
| MADDOCK & ASSOCIATES EIN 91-1280409 NONE | Insurance agents and brokers Service code 22 | 1407 WILLWO ROAD E. STE C. FIFE, WA 98424 | $12K |
| FORTIPHI, LLC. EIN 91-1743499 NONE | Insurance agents and brokers Service code 22 | PO BOX 1547 MOUNT VERNON, WA 98074 | $11K |
| JEFF LEWIS KELLER ROHRBACK EIN 91-0563405 NONE | Trustee (discretionary) Service code 24 | — | $11K |
| EVERGREEN INSURANCE GROUP NONE | Insurance agents and brokers Service code 22 | 704 228TH AVENUE NE 713 SAMMAMISH, WA 98074 | $10K |
| BTG & ASSOCIATES LLC EIN 84-3131974 NONE | Insurance agents and brokers Service code 22 | — | $9K |
| GROUP SOLUTIONS NORTHWEST LLC. EIN 91-2158338 NONE | Insurance agents and brokers Service code 22 | 7511 SE 76TH ST. MERCER ISLAND, WA 98040 | $9K |
| PROPEL INSURANCE AGNECY LLC EIN 91-0830024 NONE | Insurance agents and brokers Service code 22 | — | $8K |
| PAYNEWEST INSURANCE, INC. EIN 81-0479558 NONE | Insurance agents and brokers Service code 22 | 501 N. RIVERPOINT BLVD, ST SPOKANE, WA 99202 | $8K |
| TERRIL, LEWIS, & WILKE INS INC. NONE | Insurance agents and brokers Service code 22 | 112 S, 4TH ST, YAKIMA, WA 98901 | $8K |
| MORAN BENEFIT ADVISORS, INC. EIN 61-1581966 NONE | Insurance agents and brokers Service code 22 | 9631 N. NEVADA ST. 309 SPOKANE, WA 99218 | $7K |
| PARKER SMITH AND FEEK INC EIN 91-0660018 NONE | Insurance agents and brokers Service code 22 | — | $6K |
| MANNA INSURANCE GROUP LLC. NONE | Insurance agents and brokers Service code 22 | 719 GROVER ST. LYNDEN, WA 98264 | $6K |
| LEAVITT GROUP BENEFITS NW EIN 91-1366133 NONE | Insurance agents and brokers Service code 22 | — | $5K |
| US INSURANCE SOLUTIONS NONE | Insurance agents and brokers Service code 22 | 2843 238TH AVE SE. SAMMAMISH, WA 98075 | $5K |
| POINTGUARD FINANCIAL NONE | Consulting (general); Other services Service code 16 | 420 N. EVERGREEN SUITE 100 SPOKANE VALLEY, WA 99216 | $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 | 1,279 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,279 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,042 | $6.3M |
| Dental | DELTA DENTAL OF WASHINGTON | 575 | $408K |
| Vision | VISION SERVICE PLAN | 572 | $51K |
| Life insurance | STANDARD INSURANCE COMPANY | 903 | $55K |
| Short-term disability | STANDARD INSURANCE COMPANY | 903 | $55K |
| Long-term disability | STANDARD INSURANCE COMPANY | 903 | $55K |
| Other | MAGELLAN | 6 | $59 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,042 | — |
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.