| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PSG WASHINGTON INC3 | PO BOX 387 EVERETT, WA 982060387 | KAISER FOUNDATION HEALTH PLAN, INC. | $89K | — | $89K | 5.00% |
| M J INSURANCE INC.3 Filed as: M J INSURANCE INC | PO BOX 3430 CARMEL, IN 46082 | KAISER FOUNDATION HEALTH PLAN, INC. | $66 | — | $66 | 0.00% |
| PSG WASHINGTON INC3 | PO BOX 387 EVERETT, WA 982060387 | KAISER FOUNDATION HEALTH PLAN, INC. | $47K | — | $47K | 4.99% |
| ERIC M SILVERMAN3 | 1423 MARTIN MEADOWS DR FALLSTON, MD 21047 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $29K | $687 | $30K | 16.63% |
| PSG WASHINGTON INC3 | PO BOX 387 EVERETT, WA 98206 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $16K | — | $16K | 8.75% |
| NATIONAL BENEFIT PARTNER WEST LLC3 | 99 WOOD AVE S STE 501 ISELIN, NJ 08830 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 2.00% |
| ERIC M SILVERMAN3 | 1423 MARTIN MEADOWS DR FALLSTON, MD 21047 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $12K | $409 | $13K | 13.43% |
| PSG WASHINGTON INC3 | PO BOX 387 EVERETT, WA 98206 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 7.00% |
| NATIONAL BENEFIT PARTNER WEST LLC3 | 99 WOOD AVE S STE 501 ISELIN, NJ 08830 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.00% |
| ERIC M SILVERMAN3 | 1423 MARTIN MEADOWS DR FALLSTON, MD 21047 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $15K | $394 | $15K | 16.69% |
| PSG WASHINGTON INC3 | PO BOX 387 EVERETT, WA 98206 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 8.75% |
| NATIONAL BENEFIT PARTNER WEST LLC3 | 99 WOOD AVE S STE 501 ISELIN, NJ 08830 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.00% |
| ERIC M SILVERMAN3 | 1423 MARTIN MEADOWS DR FALLSTON, MD 21047 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $10K | $304 | $10K | 13.41% |
| PSG WASHINGTON INC3 | PO BOX 387 EVERETT, WA 98206 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 7.00% |
| NATIONAL BENEFIT PARTNER WEST LLC3 | 99 WOOD AVE S STE 501 ISELIN, NJ 08830 | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 2.00% |
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 | 1,208 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 303 | $2.7M |
| Life insurance | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | 568 | $180K |
| Short-term disability | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | 333 | $90K |
| Other(3 contracts) | MUTUAL OF OMAHA LIFE INSURANCE COMPANY | 568 | $349K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 568 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.