No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PROPOINT LLC EIN 27-3322664 | Insurance agents and brokers Service code 22 | 525 COLUMBIA ST NW, SUITE 204 OLYMPIA, WA 98501 | $17K |
| VIMLY BENEFIT SOLUTIONS, INC EIN 91-1603312 | Contract Administrator; Other services Service code 13 | 12121 HARBOUR REACH DR, STE 105 MUKILTEO, WA 98275 | $7K |
| FORTERRA INC EIN 20-3642694 | Other services Service code 49 | PO BOX 7508 OLYMPIA, WA 98507 | $6K |
| BARNES & THORNBURG LLP EIN 35-0900596 | Legal Service code 29 | 11 SOUTH MERIDIAN ST INDIANAPOLIS, IN 46204 | $202 |
| FROST & COMPANY PLLC EIN 27-5137616 | Accounting (including auditing) Service code 10 | 676A WOODLAND SQ LOOP SE SUITE 309 LACEY, WA 98503 | $138 |
| MILLIMAN EIN 91-0675641 | Actuarial Service code 11 | 1301 FIFTH AVE, SUITE 3800 SEATTLE, WA 98101 | $62 |
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 | 46 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 46 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 46 | $651K |
| Dental | DELTA DENTAL OF WASHINGTON | 18 | $18K |
| Vision | VISION SERVICE PLAN | 46 | $2K |
| Life insurance(3 contracts, 3 carriers) | USABLE LIFE | 46 | $3K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 7 | $61 |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 7 | $61 |
| Prescription drug | PREMERA BLUE CROSS | 46 | $651K |
| Other(3 contracts, 3 carriers) | USABLE LIFE | 46 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 46 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.