| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES, LLC | 315 MONTGOMERY STREET, SUITE 900 SAN FRANCISCO, CA 94104 | FIDELITY SECURITY LIFE INSURANCE CO | $84K | — | $84K | 5.00% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE, SUITE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $4K | $2K | $6K | 13.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Participant communication; Accounting (including auditing); Direct payment from the plan Service code 10 | — | $156K |
| BLUE CROSS BLUE SHIELD OF MONTANA EIN 36-1236610 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $112K |
| PROPEL INSURANCE, INC EIN 91-0830024 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Consulting (general) Service code 16 | — | $67K |
| DAVIDSON INVESTMENT ADVISORS EIN 41-0956607 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $26K |
| MCKENZIE, ROTHWELL, BARLOW & COUGHR EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $24K |
| FIRST INTERSTATE BANK EIN 81-6023169 NONE | Custodial (securities); Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $21K |
| AUDIT SERVICES, INC EIN 91-0877177 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| HEALTHCARE ACTUARIES LLC EIN 20-5718833 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $8K |
| LAWTON PRINTING NONE | Copying and duplicating; Direct payment from the plan; Other services Service code 36 | 4111 E MISSION AVE SPOKANE, WA 99202 | $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 | 839 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 860 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 844 | $407K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE CO | 839 | $45K |
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE CO | 865 | $1.7M |
| Other | UNITED OF OMAHA LIFE INSURANCE CO | 839 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 865 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.