| 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 | UNION LABOR LIFE INSURANCE COMPANY | $93K | — | $93K | 5.90% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE, SUITE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $3K | — | $3K | 8.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Participant communication; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Accounting (including auditing); Copying and duplicating Service code 10 | — | $140K |
| PROPEL INSURANCE, INC EIN 91-0830024 NONE | Consulting (general); Insurance brokerage commissions and fees Service code 16 | — | $94K |
| DAVIDSON INVESTMENT ADVISORS, INC. EIN 41-0956607 NONE | Investment management; Direct payment from the plan Service code 28 | — | $30K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| FIRST INTERSTATE BANK EIN 81-6023169 NONE | Direct payment from the plan; Custodial (securities); Custodial (other than securities) Service code 18 | — | $20K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
| AUDIT SERVICES, INC EIN 91-0877177 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $11K |
| LAWTON PRINTING SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 4111 E MISSION AVE SPOKANE, WA 99202 | $8K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 22 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 0 | $314K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE CO | 0 | $38K |
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 0 | $1.6M |
| Other | UNITED OF OMAHA LIFE INSURANCE CO | 0 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
No prospect flags tripped on this filing.