| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MANNA INSURANCE GROUP LLC3 | BENJAMIN J BLANKERS 1706 FRONT ST PMB #794 LYNDEN, WA 98264 | REGENCE BLUESHIELD | $30K | — | $30K | 2.72% |
| RELIANCE BENEFITS, LLC3 Filed as: RELIANCE BENEFITS LLC | RYAN K DAVIS 800 MARKET STREET SUITE 205 CHATTANOOGA, TN 37402 | REGENCE BLUESHIELD | $15K | — | $15K | 1.40% |
| MANNA INSURANCE GROUP LLC3 Filed as: MANNA INSURANCE GROUP, LLC | 1706 FRONT ST PMB 794 LYNDEN, WA 982641261 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 3.21% |
| RELIANCE BENEFITS, LLC3 Filed as: RELIANCE BENEFITS LLC | 800 MARKET ST STE 205 CHATTANOOGA, TN 374022677 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.79% |
| MANNA INSURANCE GROUP LLC3 | 1706 FRONT ST PMB STE 794 LYNDEN, WA 98264 | UNUM INSURANCE COMPANY | $1K | — | $1K | 5.19% |
| MANNA INSURANCE GROUP LLC3 | 1706 FRONT ST PMB STE 794 LYNDEN, WA 98264 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.15% |
| MANNA INSURANCE GROUP LLC3 | 1706 FRONT ST PMB STE 794 LYNDEN, WA 98264 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.11% |
| RICH IN BENEFITS INC3 | 13109 NE 123RD ST KIRKLAND, WA 98034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $214 | — | $214 | 1.63% |
| MEGAN ELIZABETH CASTO3 | 10340 CARNEY DR SE OLYMPIA, WA 98501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $119 | — | $119 | 0.91% |
| DANIEL SHARP3 | 11622 50TH DR SE EVERETT, WA 98208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $53 | — | $53 | 0.40% |
| MANNA INSURANCE GROUP LLC3 | 1706 FRONT ST PMB STE 794 LYNDEN, WA 98264 | UNUM INSURANCE COMPANY | $2K | — | $2K | 16.72% |
| MANNA INSURANCE GROUP LLC3 Filed as: MANNA INSURANCE GROUP, LLC | 719 GROVER ST LYNDEN, WA 98264 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 40.17% |
| MANNA INSURANCE GROUP LLC3 | 1706 FRONT STREET PMB STE 794 LYNDEN, WA 98264 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $324 | — | $324 | 6.66% |
| MANNA INSURANCE GROUP LLC3 | 1706 FRONT ST PMB STE 794 LYNDEN, WA 98264 | UNUM INSURANCE COMPANY | $502 | — | $502 | 16.31% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 4 carriers) | REGENCE BLUESHIELD | 200 | $1.2M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $69K |
| Vision | REGENCE BLUESHIELD | 0 | $1.1M |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 207 | $36K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 47 | $23K |
| Other(6 contracts, 4 carriers) | UNUM INSURANCE COMPANY | 200 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 207 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.