| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET SEATTLE, WA 98101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 4.07% |
| JOEL N NEWMAN AGENCY LLC3 Filed as: JOEL N NEWMAN AGENCY, LLC | 924-B NW 52ND STREET SEATTLE, WA 98107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 2.28% |
| MEGAN WILSON3 Filed as: MEGAN WILSON & OTHER AGENTS | 7534 SLIPPER ORCHID STREET LAS VEGAS, NV 89148 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $374 | $2K | 1.72% |
| ACRIALPS LLC3 Filed as: ACRIALPS, LLC | UNKNOWN GRAND RAPIDS, MI 49501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $437 | $2K | 1.61% |
| JASON BAHR3 | 16706 WOODROW ROAD BRAINERD, MN 56401 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $874 | $0 | $874 | 0.71% |
| LOCKTON COMPANIES, LLC3 | UNKNOWN BOSTON, MA 02241 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $648 | $0 | $648 | 0.53% |
| ROGER STUART KENCHEL3 | 2588 EL CAMINO REAL, SUITE F188 CARLSBAD, CA 92008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $364 | $104 | $468 | 0.38% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH | $4K | $0 | $4K | 15.00% |
No Schedule C service providers reported on this filing.
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 | 3,089 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 38 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 150 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,277 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 3,089 | $1.0M |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 146 | $123K |
| Long-term disability | STANDARD INSURANCE COMPANY | 3,089 | $1.0M |
| Other(4 contracts, 4 carriers) | STANDARD INSURANCE COMPANY | 3,089 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,089 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.