| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MADDOCK & ASSOCIATES LLC3 | — | REGENCE BLUESHIELD | $1K | — | $1K | 0.05% |
| PREFERRED BENEFITS SERVICES AGENCY3 Filed as: PREFERRED BENEFIT SERVICES, INC. | — | REGENCE BLUESHIELD | $840 | — | $840 | 0.04% |
| ARMFIELD HARRISON & THOMAS3 Filed as: ARMFIELD, HARRISON, & THOMAS LLC. | — | REGENCE BLUESHIELD | $780 | — | $780 | 0.04% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER, SMITH, & FEEK | — | REGENCE BLUESHIELD | $640 | — | $640 | 0.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY LLC - MT | — | REGENCE BLUESHIELD | $640 | — | $640 | 0.03% |
| KRISTEN BIBLE3 Filed as: KRISTEN MANWARING INSURANCE ASSOCIA | — | REGENCE BLUESHIELD | $580 | — | $580 | 0.03% |
| TERRIL LEWIS & WILKE INSURANCE INC.3 | — | REGENCE BLUESHIELD | $500 | — | $500 | 0.02% |
| RIVERSIDE EMPLOYEE BENEFITS LLC3 | — | REGENCE BLUESHIELD | $480 | — | $480 | 0.02% |
| COORDINATED BENEFITS COMPANY LLC3 Filed as: COORDINATED BENEFITS LLC. | — | REGENCE BLUESHIELD | $460 | — | $460 | 0.02% |
| R.L. EVANS COMPANY, INC.3 Filed as: R L EVANS COMPANY INC | — | REGENCE BLUESHIELD | $440 | — | $440 | 0.02% |
| OLYMPIC CREST INSURANCE, INC.3 Filed as: OLYMPIC CREST INSURANCE INC. | — | REGENCE BLUESHIELD | $380 | — | $380 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC - Y | — | REGENCE BLUESHIELD | $340 | — | $340 | 0.02% |
| IDEAL BENEFIT SOLUTIONS LLC3 Filed as: IDEAL BENEFIT SOLUTIONS, LLC. | — | REGENCE BLUESHIELD | $180 | — | $180 | 0.01% |
| WINGERT FINANCIAL SERVICES INC3 | — | REGENCE BLUESHIELD | $160 | — | $160 | 0.01% |
| JOSEPH P CALARCO3 Filed as: JOSEPH A PAINE INC | — | REGENCE BLUESHIELD | $160 | — | $160 | 0.01% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF WASHINGTON LLC. | — | REGENCE BLUESHIELD | $120 | — | $120 | 0.01% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | — | REGENCE BLUESHIELD | $80 | — | $80 | 0.00% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| BTG AND ASSOCIATES LLC3 | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| MARY-JOYCE LICATA3 Filed as: MARY K. MORGAN | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL R. YOUNG | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| CLG EMPLOYER RESOURCES LLC3 Filed as: CLG EMPLOYER RESOURCES LLC. | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | — | REGENCE BLUESHIELD | — | — | $0 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC. - SPOKANE | — | ASURIS NORTHWEST HEALTH | $1K | — | $1K | 0.58% |
| WHEELER, BRET M3 | — | ASURIS NORTHWEST HEALTH | $140 | — | $140 | 0.07% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | — | ASURIS NORTHWEST HEALTH | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AIMS EIN 91-1485366 MEMBER ORGANIZATION | Contract Administrator; Other services Service code 13 | 1206 N. LINCOLN SUITE 200 SPOKANE, WA 99201 | $119K |
| ABD INSURANCE AND FINANCIAL SERVICE EIN 27-0673528 GROUP CONSULTING SERVICES | Consulting (pension); Direct payment from the plan Service code 17 | 450. SANSOME STREET, STE. 300 SAN FRANCISCO, CA 94111 | $98K |
| AIIN EIN 91-0131100 MEMBERSHIP ORGANIZATION | Insurance agents and brokers; Direct payment from the plan Service code 22 | 1206 N. LINCOLN SUITE 200 SPOKANE, WA 99201 | $49K |
| BELL ANDERSON AGENCY INC. EIN 91-0756278 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 600 SW. 39TH ST. SUITE 200 RENTRON, WA 98057 | $21K |
| BERG BENEFITS NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 1804 W. UNION AVE 201 TACOMA, WA 98405 | $19K |
| MADDOCK & ASSOCIATES EIN 91-1280409 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 1407 WILLOW ROAD E. STE. C. FIFE, WA 98424 | $18K |
| ALLIANT INSURANCE SERVICES INC. EIN 33-0785439 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 701 B. STREET, 6TH FLOOR SAN DIEGO, CA 92101 | $15K |
| USI INSURANCE SERVICES NATIONAL INC EIN 56-1882208 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 100 SUMMIT LAKE DR, STE 1 VALHALLA, NY 10595 | $15K |
| PAYNEWEST INSURANCE INC. EIN 81-0479558 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 501 N. RIVERPOINT, STE. 403 SPOKANE, WA 99202 | $15K |
| ANATASI MOORE MARTIN EIN 20-8149084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $13K |
| BASIN PACIFIC EIN 27-1158624 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 8382 W. GAGE BLVD, STE. A KENNEWICK, WA 88225 | $12K |
| TERRIL, LEWIS, & WILKE INS, INC. EIN 91-1337671 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 112 SOUTH 4TH STREET YAKIMA, WA 98901 | $12K |
| KRISTEN MANWARING INS. ASSOCIATION EIN 20-4650764 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 2300 S. PARK AVE PORT TOWNSEND, WA 98368 | $11K |
| RIVERSIDE EMPLOYEE BENEFITS LLC. EIN 84-3461477 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 17322 107TH PL NE. BOTHELL, WA 98011 | $10K |
| PARKER, SMITH, AND FEEK, INC. EIN 91-0660018 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 2233 112TH AVENUE NE. BELLEVUE, WA 98004 | $9K |
| FLOYD, WATKINS, & ASSOCIATES INC. EIN 91-1508604 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | PO BOX 820365 VANCOUVER, WA 98682 | $9K |
| JEFF LEWIS TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | 180 GRAND AVE STE, 1380 OAKLAND, CA 94612 | $8K |
| ARMFIELD HARRISON & THOMAS INC. EIN 54-0654623 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 20 SOUTH KING ST. LEESBURG, VA 20175 | $8K |
| PREFERRED BENEFIT SERVICES INC. EIN 91-1703038 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | PO BOX 1310 POULSBRO, WA 98370 | $7K |
| REETZ INSURANCE SERVICES INC. EIN 91-2094536 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 835 E. 2ND STREET PORT TOWNSEND, WA 98362 | $7K |
| PROPEL INSURANCE LLC EIN 91-0830024 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $7K |
| PLC INSURANCE LLC. EIN 91-1508604 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 19401 40TH AVE W. STE 440 LYNNWOOD, WA 98036 | $6K |
| FINANCIAL PLANNING CONCEPTS INC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 21831 SE 456TH WAY ENUMCLAW, WA 98022 | $6K |
| HUB INTERNATIONAL NORTHWEST LLC. EIN 91-2036015 NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 835 N. POST ST. SUITE 203 SPOKANE, WA 99201 | $5K |
| PAUL RICHARDSON AGENCY INC NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 2 W MAIN ST WALLA WALLA, WA 99362 | $5K |
| OLYMPIC CREST INSURANCE EIN 91-1717576 NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | PO BOX 2538 GIG HARBOUR, WA 98335 | $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 | 637 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 637 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 721 | $2.3M |
| Dental | DELTA DENTAL OF WASHINGTON | 233 | $167K |
| Vision | VISION SERVICE PLAN | 368 | $32K |
| Life insurance | STANDARD INSURANCE COMPANY | 250 | $38K |
| Short-term disability | STANDARD INSURANCE COMPANY | 250 | $38K |
| Long-term disability | STANDARD INSURANCE COMPANY | 250 | $38K |
| Prescription drug(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 721 | $2.3M |
| Other | MAGELLAN HEALTHCARE | 87 | $799 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 721 | — |
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.