| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY | 600 SW 39TH STE 200 RENTON, WA 98057 | SYMETRA LIFE INSURANCE COMPANY | $53K | $0 | $53K | 3.00% |
| HEALTHCARE MANAGEMENT ADMINISTRATOR3 Filed as: HEALTHCARE MANAGEMENT ADMIN | PO BOX 85016 BELLEVUE, WA 98015 | SYMETRA LIFE INSURANCE COMPANY | $0 | $43K | $43K | 2.43% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY | 600 SW 39TH STE 200 RENTON, WA 98057 | DELTA DENTAL OF WASHINGTON | $45K | $0 | $45K | 3.00% |
| BENEFITS WEST INC3 Filed as: BENEFITS WEST | 19707 44TH AVENUE WEST #201 LYNWOOD, WA 98036 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $15K | $0 | $15K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SYMETRA FINANCIAL EIN 91-0742147 NONE | Insurance services Service code 23 | 777 108TH AVENUE, SUITE 1200 BELLEVUE, WA 98004 | $1.8M |
| HEALTHCARE MANAGEMENT ADMINISTRATOR EIN 91-1333840 NONE | Contract Administrator Service code 13 | 10700 NORTHUP WAY #100 BELLEVUE, WA 98004 | $690K |
| BENEFITS WEST EIN 91-2151589 NONE | Insurance agents and brokers Service code 22 | 19707 44TH AVE WEST, SUITE 201 LYNWOOD, WA 98036 | $197K |
| BELL ANDERSON AGENCY NONE | Insurance agents and brokers Service code 22 | 600 SW 39TH ST STE 200 RENTON, WA 98057 | $98K |
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 | 2,091 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WASHINGTON | 3,114 | $1.5M |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 1,686 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,114 | — |
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.