| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 | 18940 N PIMA RD STE 210 SCOTTSDALE, AZ 852556343 | RELIASTAR LIFE INSURANCE COMPANY | — | $47K | $47K | 5.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 401 UNION ST STE 3100 SEATTLE, WA 98101 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $37K | $37K | 9.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD NONE | Direct payment from the plan; Claims processing Service code 12 | 3645 S ALICE ST HELENA, MT 59601 | $631K |
| REHN AND ASSOCIATES NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing; Direct payment from the plan; Copying and duplicating Service code 12 | PO BOX 5433 SPOKANE, WA 99205 | $212K |
| SMITH RX NONE | Claims processing; Direct payment from the plan Service code 12 | PO BOX 124025 DALLAS, TX 753124025 | $191K |
| ALLIANT INSURANCE SERVICES NONE | Direct payment from the plan; Consulting (general) Service code 16 | PO BOX 8377 PASADINA, CA 91109 | $107K |
| HEALTHJOY NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 776932 CHICAGO, IL 606775932 | $100K |
| CLIFTONLARSONALLEN EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $65K |
| DELTA DENTAL NONE | Direct payment from the plan; Claims processing Service code 12 | 400 FAIRVIEW AVE N, STE 800 SEATTLE, WA 98109 | $57K |
| RENALOGIC NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 3890 SEATTLE, WA 981243890 | $37K |
| INTERLINK NONE | Direct payment from the plan; Other services Service code 49 | 4660 NE BELKNAP CT. STE 209 HILLSBORO, OR 97124 | $29K |
| IT STARTS WITH ME NONE | Other services; Direct payment from the plan Service code 49 | 29 FIRST MISSOULA ROAD MISSOULA, MT 59804 | $16K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $14K |
| ANCHOR BENEFIT CONSULTING NONE | Other services; Direct payment from the plan Service code 49 | 2400 MAITLAND CENTER PKWY #111 MAITLAND, FL 32751 | $6K |
| NAVIHEALTH, INC. NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 744204 ATLANTA, GA 30374 | $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 | 1,153 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 57 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,210 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MONTANA | 269 | $284K |
| Dental(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MONTANA | 269 | $459K |
| Vision(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MONTANA | 269 | $459K |
| Prescription drug | HUMANA INSURANCE COMPANY | 266 | $175K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,185 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,185 | — |
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.