| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | PREMERA BLUE CROSS | $32K | $4K | $36K | 2.91% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SERVICES | 110 WEST A STREET, SUITE 725 SAN DIEGO, CA 92101 | PREMERA BLUE CROSS | $35K | $0 | $35K | 2.77% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SERVICES | 110 WEST A STREET, SUITE 725 SAN DIEGO, CA 92101 | KAISER FOUINDATION HEALTH PLAN OF WASHINGTON | $9K | $0 | $9K | 3.20% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | KAISER FOUINDATION HEALTH PLAN OF WASHINGTON | $6K | $0 | $6K | 2.04% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SERVICES | 110 WEST A STREET, SUITE 725 SAN DIEGO, CA 92101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 9.59% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $157 | $1K | 4.61% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SERVICES | 110 WEST A STREET, SUITE 725 SAN DIEGO, CA 92101 | UNUM INSURANCE COMPANY | $2K | $0 | $2K | 8.72% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | UNUM INSURANCE COMPANY | $74 | $52 | $126 | 0.69% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SERVICES | 110 WEST A STREET, SUITE 725 SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $596 | $0 | $596 | 4.70% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | VISION SERVICE PLAN | $537 | $0 | $537 | 4.23% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOSOLLUTUTIONS | 9725 3RD AVENUE NE, SUITE 110 SEATTLE, WA 98115 | HARTFORD LIFE AND ACCIDENT | $0 | $563 | $563 | 7.00% |
| CMR RISK & INSURANCE SERVICES, INC.3 Filed as: CMR RISK & INSURANCE SERVICES | 110 WEST A STREET, SUITE 725 SAN DIEGO, CA 92101 | HARTFORD LIFE AND ACCIDENT | $436 | $0 | $436 | 5.42% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | HARTFORD LIFE AND ACCIDENT | $369 | $0 | $369 | 4.59% |
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 | 198 | 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) | 198 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PREMERA BLUE CROSS | 199 | $1.5M |
| Dental | PREMERA BLUE CROSS | 199 | $1.3M |
| Vision | VISION SERVICE PLAN | 151 | $13K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $39K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 36 | $31K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 36 | $31K |
| Prescription drug(2 contracts, 2 carriers) | PREMERA BLUE CROSS | 199 | $1.5M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 198 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 199 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.