| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLINGFORD FINANCIAL SERVICES INC3 | — | REGENCE BLUESHIELD | $4K | — | $4K | 0.08% |
| PSG WASHINGTON INC3 | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.05% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE | — | REGENCE BLUESHIELD | $2K | — | $2K | 0.03% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER SMITH & FEEK | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.03% |
| HEALTH INSURANCE TEAM LLC3 | — | REGENCE BLUESHIELD | $980 | — | $980 | 0.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | — | REGENCE BLUESHIELD | $660 | — | $660 | 0.01% |
| MORGAN WHITE LIMITED3 Filed as: MORGAN, MARY K | — | REGENCE BLUESHIELD | $600 | — | $600 | 0.01% |
| BURNLEY H WILSON ASSOCIATES3 | — | REGENCE BLUESHIELD | $520 | — | $520 | 0.01% |
| MADDOCK & ASSOCIATES LLC3 Filed as: MADDOCK & ASSOCIATES | — | REGENCE BLUESHIELD | $480 | — | $480 | 0.01% |
| LLOYDS LIFE SALES INC3 | — | REGENCE BLUESHIELD | $440 | — | $440 | 0.01% |
| EBENEFITS INSURANCE LLC3 | — | REGENCE BLUESHIELD | $400 | — | $400 | 0.01% |
| FORTIPHI LLC3 | — | REGENCE BLUESHIELD | $280 | — | $280 | 0.01% |
| AXIS INSURANCE LLC3 | — | REGENCE BLUESHIELD | $160 | — | $160 | 0.00% |
| TERRIL LEWIS & WILKE INSURANCE INC.3 Filed as: TERRIL LEWIS & WILKE INSURANCE INC | — | REGENCE BLUESHIELD | $160 | — | $160 | 0.00% |
| CLG EMPLOYER RESOURCES LLC3 | — | REGENCE BLUESHIELD | $60 | — | $60 | 0.00% |
| LLOYDS LIFE SALES INC3 | — | ASURIS NORTHWEST HEALTH | $880 | — | $880 | 0.08% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | — | ASURIS NORTHWEST HEALTH | $800 | — | $800 | 0.07% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | — | ASURIS NORTHWEST HEALTH | $480 | — | $480 | 0.04% |
| CORKERY AND JONES BENEFITS, INC.3 Filed as: CORKERY & JONES BENEFITS INC | — | ASURIS NORTHWEST HEALTH | $260 | — | $260 | 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 | $269K |
| WELLS FARGO INSURANCE SERVICES USA EIN 91-0971685 | Consulting (general) Service code 16 | PO BOX 203588 DALLAS, TX 75320 | $109K |
| PAYNEWEST INSURANCE, INC. EIN 81-0479558 | Insurance agents and brokers Service code 22 | 501 N RIVERPOINT, STE 403 SPOKANE, WA 99202 | $61K |
| PSG WASHINGTON, INC. EIN 20-2040193 | Insurance agents and brokers Service code 22 | PO BOX 387 EVERETT, WA 98206 | $39K |
| WALLINGFORD FINANCIAL SERVICES, INC EIN 71-0907082 | Insurance agents and brokers Service code 22 | 236 SW 171ST STREET SEATTLE, WA 98166 | $33K |
| ABD INSURANCE AND FINANCIAL SERVICE EIN 27-0673528 | Consulting (general) Service code 16 | 3 WATERS PARK DR STE 100 SAN MATEO, CA 94403 | $25K |
| SOUND CONSULTING SERVICES EIN 71-1004774 | Insurance agents and brokers Service code 22 | 200 112TH AVE NE, STE 205 BELLEVUE, WA 98004 | $13K |
| PARKER, SMITH AND FEEK, INC. EIN 91-0660018 | Insurance agents and brokers Service code 22 | 2233 112TH AVENUE NE BELLEVUE, WA 98004 | $13K |
| LLOYD'S LIFE SALES, INC. EIN 91-0959143 | Insurance agents and brokers Service code 22 | PO BOX 1318 WALLA WALLA, WA 99362 | $13K |
| EBENEFITS CONSULTING GROUP, LLC EIN 20-8629593 | Insurance agents and brokers Service code 22 | PO BOX 359 BLACK DIAMOND, WA 98010 | $12K |
| BASIN PACIFIC EIN 27-1158624 | Insurance agents and brokers Service code 22 | 8382 W. GAGE BLVD, STE A KENNEWICK, WA 99336 | $12K |
| MADDOCK & ASSOCIATES EIN 91-1280409 | Insurance agents and brokers Service code 22 | 1407 WILLOW ROAD E STE C FIFE, WA 98424 | $12K |
| DIGITAL INSURANCE INC. EIN 58-2522668 | Insurance agents and brokers Service code 22 | 200 GALLERIA PARKWAY SE ATLANTA, GA 30339 | $11K |
| ALLIANT INSURANCE SERVICES INC. EIN 33-0785439 | Insurance agents and brokers Service code 22 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | $8K |
| SPRINGER BENEFITS, LLC EIN 87-0771186 | Insurance agents and brokers Service code 22 | PO BOX 2521 ISSAQUAH, WA 98027 | $8K |
| SCHOEDEL & SCHOEDEL EIN 91-0614823 | Accounting (including auditing) Service code 10 | 422 W RIVERSIDE AVE 1420 SPOKANE, WA 99201 | $8K |
| GREEN FINANCIAL CORP EIN 91-1355214 | Insurance agents and brokers Service code 22 | 11930 SLATER AVE NE, 100 KIRKLAND, WA 98034 | $7K |
| FLOYD WATKINS & ASSOCIATES INC EIN 91-1508604 | Insurance agents and brokers Service code 22 | PO BOX 820365 VANCOUVER, WA 98682 | $7K |
| HEALTH INSURANCE TEAM LLC EIN 45-1565934 | Insurance agents and brokers Service code 22 | 4117 43RD AVE NE SEATTLE, WA 98105 | $7K |
| HALEY J HAAS INC EIN 26-2720516 | Insurance agents and brokers Service code 22 | 9 S WASHINGTON ST STE 210 SPOKANE, WA 99201 | $7K |
| INOVA LLC EIN 20-2267476 | Insurance agents and brokers Service code 22 | 8601 N DIVISION SPOKANE, WA 99218 | $7K |
| PREFERRED BENEFIT SERVICES, INC. EIN 91-1703038 | Insurance agents and brokers Service code 22 | PO BOX 1310 POULSBRO, WA 98370 | $7K |
| REETZ INSURANCE SERVICES, INC. EIN 91-2094536 | Insurance agents and brokers Service code 22 | 835 E 2ND STREET PORT TOWNSEND, WA 98362 | $7K |
| JEFFERY J. JOHNSTON EIN 53-8547117 | Insurance agents and brokers Service code 22 | 1425 LAKESIDE CT YAKIMA, WA 98902 | $6K |
| BIGGS INSURANCE SERVICES EIN 91-1428405 | Insurance agents and brokers Service code 22 | PO BOX 189 VANCOUVER, WA 98666 | $6K |
| MARY K MORGAN EIN 54-0704097 | Insurance agents and brokers Service code 22 | 16211 NE 29TH STREET BELLEVUE, WA 98008 | $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 | 1,603 | 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) | 1,603 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,244 | $5.8M |
| Dental | DELTA DENTAL OF WASHINGTON | 224 | $95K |
| Vision | VISION SERVICE PLAN | 411 | $21K |
| Life insurance | STANDARD LIFE INSURANCE | 910 | $33K |
| Prescription drug(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,244 | $5.8M |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 1,244 | $5.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,244 | — |
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 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.