| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 29982 NETWORK PL CHICAGO, IL 60673 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $140K | — | $140K | 14.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 265 BROOKVIEW CENTRE WAY STE 505 KNOXVILLE, TN 37919 | DELTA DENTAL INSURANCE COMPANY | $58K | — | $58K | 8.67% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 29982 NETWORK PL CHICAGO, IL 60673 | VISION SERVICE PLAN | $3K | — | $3K | 1.99% |
| MARK J POMARO & ASSOCIATES3 | 5313 SANDY TRAIL COURT PLANO, TX 75023 | NORTH AMERICAN SPECIALTY INS | $5K | — | $5K | 14.90% |
| COMBINED INDEPENDENT AGENCIES3 | 14785 PRESTON RD SUITE 350 DALLAS, TX 75254 | NORTH AMERICAN SPECIALTY INS | $591 | $3K | $4K | 10.34% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: ANCHOR RISK MANAGEMENT | 14785 PRESTON RD SUITE 350 DALLAS, TX 75254 | NORTH AMERICAN SPECIALTY INS | — | $1K | $1K | 2.88% |
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 | 2,004 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 41 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 433 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,478 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 194 | $2.3M |
| Dental(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 2,359 | $2.1M |
| Vision | VISION SERVICE PLAN | 1,186 | $155K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,004 | $999K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,004 | $999K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,004 | $999K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 194 | $2.0M |
| Other(3 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,004 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,359 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.