| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | P.O. BOX 30638 BILLINGS, MT 59101 | STANDARD INSURANCE COMPANY | $50K | — | $50K | 2.79% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC | 1501 4TH AVE STE 2400 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $37K | $785 | $38K | 2.12% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET STE 1000 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $20K | — | $20K | 1.10% |
| AON CONSULTING INC3 | 1420 5TH AVE STE 1200 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $14K | — | $14K | 0.80% |
| THE PARTNERS GROUP3 Filed as: PARTNERS GROUP | 11740 SW 68TH PARKWAY STE 200 PORTLAND, OR 97223 | STANDARD INSURANCE COMPANY | $9K | $1K | $10K | 0.54% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $6K | $2K | $8K | 0.43% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER SMITH AND FEEK INC | 2233 112TH AVE NE BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 0.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | P.O. BOX 3018 BOTHELL, WA 980413018 | STANDARD INSURANCE COMPANY | $3K | $739 | $4K | 0.21% |
| HELBLING BENEFITS3 | P.O. BOX 3725 COEUR DALENE, ID 83816 | STANDARD INSURANCE COMPANY | $3K | $183 | $3K | 0.16% |
| NORTHRIM BENEFITS GROUP3 | 3111 C STREET STE 500 ANCHORAGE, AK 99503 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 0.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI NORTHEAST INC | 555 PLEASANTVILLE RD BRIARCLIFF MANOR, NY 10510 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 0.13% |
| KRISTIN MANWARING INSURANCE3 Filed as: KRISTIN MANWARING INC ASSOC | 2300 SOUTH PARK AVE PORT TOWNSEND, WA 98368 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.11% |
| EMSPRING CORPORATION3 | 3911 CASTLEVIEW RD STE 209 YAKIMA, WA 98902 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.10% |
| PROFESSIONAL BENEFIT SERVICES, INC.3 Filed as: PROFESSIONAL BENEFIT SERVICES | 195 NE GILMAN BLVD STE 200 ISSAQUAH, WA 98027 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | STANDARD INSURANCE COMPANY | — | $700 | $700 | 0.04% |
| DANIEL B HUNDRUP3 | P.O. BOX 537 LEWISTON, ID 83501 | STANDARD INSURANCE COMPANY | $566 | — | $566 | 0.03% |
| TRUTINA FINANCIAL, LLC3 | 10811 MAIN ST BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $373 | — | $373 | 0.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LIMITED | 180 RIVER ROAD 2ND FL SUMMIT, NJ 07901 | STANDARD INSURANCE COMPANY | — | $246 | $246 | 0.01% |
| C2 CENTRIC LLC3 | P.O. BOX 6824 GRAND RAPIDS, MI 49516 | STANDARD INSURANCE COMPANY | — | $113 | $113 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | P.O. BOX 30638 BILLINGS, MT 59101 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $1K | — | $1K | 0.24% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET STE 1000 SEATTLE, WA 98101 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $1K | — | $1K | 0.17% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | P.O. BOX 30638 BILLINGS, MT 59101 | STANDARD INSURANCE COMPANY | $22K | — | $22K | 3.72% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC | 1501 4TH AVE STE 2400 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $12K | $694 | $13K | 2.19% |
| AON CONSULTING INC3 | 1420 5TH AVE STE 1200 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $13K | — | $13K | 2.14% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER SMITH AND FEEK INC | 2233 112TH AVE NE BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 0.53% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES INC | 701 B ST FLR 6 SAN DIEGO, CA 92101 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 777 108TH AVE NE STE 200 BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $1K | $384 | $2K | 0.28% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 400 GALLERIA PKY STE 300 ATLANTA, GA 303393182 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.25% |
| PROFESSIONAL BENEFIT SERVICES, INC.3 Filed as: PROFESSIONAL BENEFIT SERVICES | 195 NE GILMAN BLVD STE 200 ISSAQUAH, WA 98027 | STANDARD INSURANCE COMPANY | $919 | — | $919 | 0.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | P.O. BOX 3018 BOTHELL, WA 980413018 | STANDARD INSURANCE COMPANY | $917 | — | $917 | 0.15% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET STE 1000 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $898 | — | $898 | 0.15% |
| KRISTIN MANWARING INSURANCE3 Filed as: KRISTIN MANWARING INC ASSOC | 2300 SOUTH PARK AVE PORT TOWNSEND, WA 98368 | STANDARD INSURANCE COMPANY | $566 | — | $566 | 0.09% |
| NORTHRIM BENEFITS GROUP3 | 3111 C STREET STE 500 ANCHORAGE, AK 99503 | STANDARD INSURANCE COMPANY | $533 | — | $533 | 0.09% |
| HELBLING BENEFITS3 | P.O. BOX 3725 COEUR DALENE, ID 83816 | STANDARD INSURANCE COMPANY | $475 | $30 | $505 | 0.08% |
| TRUTINA FINANCIAL, LLC3 | 10811 MAIN ST BELLEVUE, WA 98004 | STANDARD INSURANCE COMPANY | $286 | — | $286 | 0.05% |
| DANIEL B HUNDRUP3 | P.O. BOX 537 LEWISTON, ID 83501 | STANDARD INSURANCE COMPANY | $218 | — | $218 | 0.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | 180 RIVER ROAD 2ND FL SUMMIT, NJ 07901 | STANDARD INSURANCE COMPANY | — | $206 | $206 | 0.03% |
| EMSPRING CORPORATION3 | 3911 CASTLEVIEW RD STE 209 YAKIMA, WA 98902 | STANDARD INSURANCE COMPANY | $172 | — | $172 | 0.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | TWO PIERCE PLACE 14TH FLOOR ITASCA, IL 60143 | STANDARD INSURANCE COMPANY | — | $150 | $150 | 0.03% |
| USI INSURANCE SERVICES LLC3 Filed as: USI NORTHEAST INC | 555 PLEASANTVILLE RD BRIARCLIFF MANOR, NY 10510 | STANDARD INSURANCE COMPANY | — | $30 | $30 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | P.O. BOX 3018 BOTHELL, WA 980413018 | VISION SERVICE PLAN | $2K | — | $2K | 1.66% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 2925 PALMER ST, STE B MISSOULA, MT 598081658 | VISION SERVICE PLAN | $936 | — | $936 | 0.86% |
| MOLONEY & ONEILL LIFE INC3 Filed as: MOLONEY & O'NEILL BENEFITS, LLC | 818 W RIVERSIDE AVE, STE 800 SPOKANE, WA 992010913 | VISION SERVICE PLAN | $886 | — | $886 | 0.82% |
| USI INSURANCE SERVICES LLC3 Filed as: USI NW DBA KIBBLE & PRENTICE HOLDIN | P.O. BOX 62949 VIRGINIA BEACH, VA 234662949 | VISION SERVICE PLAN | $723 | — | $723 | 0.67% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER SMITH AND FEEK INC | 2233 112TH AVE NE BELLEVUE, WA 98004 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $593 | — | $593 | 3.27% |
| PROFESSIONAL BENEFIT SERVICES, INC.3 Filed as: PROFESSIONAL BENEFIT SERVICES | 195 NE GILMAN BLVD STE 200 ISSAQUAH, WA 98027 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 11.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC | 1501 4TH AVE STE 2400 SEATTLE, WA 98101 | STANDARD INSURANCE COMPANY | $181 | — | $181 | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT SOLUTIONS, INC EIN 91-1603312 NONE | Accounting (including auditing); Recordkeeping fees; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Other commissions; Participant communication; Contract Administrator Service code 10 | — | $132K |
| BROWN & BROWN OF WASHINGTON, INC, EIN 91-0378940 NONE | Consulting (general); Insurance brokerage commissions and fees; Consulting fees; Insurance agents and brokers; Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance services; Direct payment from the plan Service code 15 | — | $102K |
| SAICHEK LAW FIRM, APC EIN 26-0806256 NONE | Consulting (general); Legal; Direct payment from the plan Service code 16 | — | $18K |
| SCHOEDEL & SCHOEDEL, CPAS, PLLC EIN 91-0614823 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $16K |
| WASHINGTON HOSPITAL SERVICES, INC. EIN 91-1389170 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $12K |
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 | 11,750 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 11,750 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(4 contracts, 2 carriers) | DELTA DENTAL OF WASHINGTON | 14,884 | $10.9M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 715 | $127K |
| Life insurance | STANDARD INSURANCE COMPANY | 3,721 | $599K |
| Short-term disability | STANDARD INSURANCE COMPANY | 20 | $9K |
| Long-term disability | STANDARD INSURANCE COMPANY | 4,958 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,884 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.