| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCOTT BURKHARDT3 | 111 N 2ND STREET SUITE 10M COEUR D ALENE, ID 83814 | REGENCE BLUESHIELD OF IDAHO INC | $48K | $27K | $76K | 11.06% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | DELTA DENTAL OF IDAHO | $15K | $53K | $68K | 20.53% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19K | $973 | $20K | 13.51% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | — | $17K | 11.48% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $15K | $945 | $16K | 10.87% |
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | CONTINENTAL AMERICAN INSURANCE COMPANY (AFLAC) | $19K | — | $19K | 21.62% |
| JAN MARIE3 | 1220 E FRONT AVE COEUR D ALENE, ID 838144022 | CONTINENTAL AMERICAN INSURANCE COMPANY (AFLAC) | $18K | — | $18K | 19.55% |
| HOLLY A MARITA3 Filed as: HOLLY KRISTINE HALL | 2662 E UPPER HAYDEN LAKE RD HAYDEN, ID 838357185 | CONTINENTAL AMERICAN INSURANCE COMPANY (AFLAC) | $16K | — | $16K | 17.65% |
| ASHLEIGH GEORGE3 Filed as: ASHLEIGH YVONNE GEORGE | 400 EXPRESSWAY SUITE D MISSOULA, MT 598081536 | CONTINENTAL AMERICAN INSURANCE COMPANY (AFLAC) | $3K | — | $3K | 3.38% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | PO BOX 8299 PASADENA, CA 911098299 | VISION SERVICE PLAN | $7K | — | $7K | 10.31% |
| EMPLOYEE NAVIGATOR, LLC3 Filed as: EMPLOYEE NAVIGATOR | 7979 OLD GEORGETOWN RD SUITE 300 BETHESDA, MD 208142554 | VISION SERVICE PLAN | $337 | — | $337 | 0.52% |
| KOKO BROCKHOFF3 | 818 W RIVERSIDE AVE SUITE 800 SPOKANE, WA 99201 | NORTHWEST DENTAL BENEFITS | $3K | — | $3K | 5.81% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 12.48% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $232 | $4K | 10.60% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 8.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMIER MEDICAL RESOURCES INC EIN 20-2400714 EMPLOYEE MEDICAL SERVICES | Direct payment from the plan; Other services Service code 49 | 7399 N SHADELAND AVE UNIT 103 INDIANAPOLIS, IN 46250 | $1.2M |
| REGENCE BLUESHIELD OF IDAHO EIN 82-0206874 CLAIMS PROCESSING SERVICE | Float revenue; Contract Administrator; Direct payment from the plan; Claims processing; Insurance brokerage commissions and fees; Non-monetary compensation; Other services Service code 12 | — | $453K |
| EDISON HEALTH NETWORKS LLC EIN 82-2140485 MEDICAL SERVICE CONTRACTO | Contract Administrator; Direct payment from the plan; Consulting (general); Other services Service code 13 | PO BOX 1550 JENKS, OK 74037 | $249K |
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 | 657 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 657 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD OF IDAHO INC | 1,104 | $684K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF IDAHO | 496 | $386K |
| Vision | VISION SERVICE PLAN | 434 | $65K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 999 | $299K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 8 | $37K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 999 | $148K |
| Stop-loss / reinsurancereinsurance | REGENCE BLUESHIELD OF IDAHO INC | 1,104 | $684K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 999 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,104 | — |
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.