| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA - TACOMA | — | REGENCE BLUESHIELD | $74K | — | $74K | 3.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC | 2106 PACIFIC AVE, SUITE 501 TACOMA, WA 98402 | DELTA DENTAL OF WASHINGTON | $9K | — | $9K | 3.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA - TACOMA | — | LIFEMAP ASSURANCE COMPANY | $9K | — | $9K | 7.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $37 | $4K | 10.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 800 5TH AVE SUITE 2400 SEATTLE, WA 981043151 | METROPOLITAN LIFE INSURANCE COMPANY | — | $458 | $458 | 1.25% |
| LTC SOLUTIONS, INC.3 Filed as: LTC SOLUTIONS INC | — | TRUSTMARK INSURANCE COMPANY | $6K | — | $6K | 18.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | VISION SERVICE PLAN | $1K | — | $1K | 5.04% |
| SUZANNE BRATTON TUCKER3 Filed as: SUZANNE O'BRIEN | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | $79 | $1K | — |
| LISA A. TAYLOR3 Filed as: LISA A TAYLOR | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $713 | — | $713 | — |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $571 | — | $571 | — |
| NORTHWEST BENEFIT ADVISORS, INC.3 Filed as: NORTHWEST BENEFIT ADVISORS INC | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $315 | — | $315 | — |
| PATRICK RUHLE3 Filed as: PATRICK N KELLEY | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $300 | — | $300 | — |
| COTTER CONSULTING & BENEFITS INC3 Filed as: COTTER CONSULTING & BENEFITS INC. | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $275 | — | $275 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $124 | — | $124 | — |
| MARY POHLMAN3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $100 | — | $100 | — |
| MCGRATH INSURANCE GROUP INC3 Filed as: MCGRATH JR | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $71 | — | $71 | — |
| BRANDON PENKO3 Filed as: BRANDON C HOOBLER | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $60 | — | $60 | — |
| PAUL B ROBEDEAU3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $45 | — | $45 | — |
| REIMER INS AGENCY INC3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $44 | — | $44 | — |
| SUSAN MAE DANIEL3 Filed as: SUSAN L JOHNSON | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $42 | — | $42 | — |
| TERRY J SILVERS3 Filed as: TERRY P MCLAUGHLIN | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $33 | — | $33 | — |
| MUELLER OF OLD CHEYENNE3 Filed as: MUELLER INS & FINANCIAL SERVICES | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $31 | — | $31 | — |
| MATTHEW G BERGER3 Filed as: MATTHEW A BUMALA | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $31 | — | $31 | — |
| CYNTHIA LERNER RUBIN3 Filed as: CYNTHIA M SIMS | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $30 | — | $30 | — |
| JOSEPH RAY HARDIE3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $27 | — | $27 | — |
| ANDRE LAFLAMME3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $26 | — | $26 | — |
| LISA M HUTCHERSON3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $24 | — | $24 | — |
| KEVIN C HALLAM3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $23 | — | $23 | — |
| DAVID J MCCLELLAN3 Filed as: DAVID DAY | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $20 | — | $20 | — |
| RUZICKAS INC3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $19 | — | $19 | — |
| RUSSELL L WARYE3 Filed as: RUSSELL W REOPELLE | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $18 | — | $18 | — |
| ERNEST E SNOOK3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | — | $16 | — |
| SCOTT W BLACKSHEAR3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | — | $16 | — |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | — | $16 | — |
| GLEN T SCHWEIKERT3 Filed as: GLEN W SUGGS | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | — | $16 | — |
| KATHERINE C WOOD3 Filed as: KATHERINE P CORSO | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $14 | — | $14 | — |
| DARAN L WYCKOFF3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $12 | — | $12 | — |
| CRAIG A HANSEN3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $11 | — | $11 | — |
| JAMEY MILLER INC3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | — |
| MEGAN ELIZABETH CASTO3 Filed as: MEGAN J STEVENSON | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | — |
| MITCHELL HECTOR MORALES3 Filed as: MITCHELL PUMPIAN | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | — |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | — |
| JOSHUA PAUL GROUP INC3 Filed as: JOSHUA M HELDEROP | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| SUSAN MAE DANIEL3 Filed as: SUSAN L JOHNSON | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| CAMERON M KENNEDY3 Filed as: CAMERON MARCEAUX | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| AMANDA M GRIFFITH3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | — |
| HEATHER L TOMSON3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| SUWAT ASSAWAMATIYANONT3 | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| DAVID J MCCLELLAN3 Filed as: DAVID W STEWART | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| ERIC BROGAN3 Filed as: ERIC OGREN | — | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
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 | 255 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 255 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 305 | $2.5M |
| Dental | DELTA DENTAL OF WASHINGTON | 422 | $244K |
| Vision | VISION SERVICE PLAN | 226 | $24K |
| Life insurance(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 255 | $161K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 255 | $124K |
| Prescription drug | REGENCE BLUESHIELD | 305 | $2.5M |
| Other(4 contracts, 4 carriers) | LIFEMAP ASSURANCE COMPANY | 255 | $192K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 422 | — |
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."
No prospect flags tripped on this filing.