| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | REGENCE BLUESHIELD | $58K | $8K | $66K | 2.21% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | REGENCE BLUESHIELD | $32K | $145 | $32K | 1.06% |
| LONG TERM CARE SOLUTIONS, INC.3 Filed as: LONG TERM CARE SOLUTIONS | 14715 NE 95TH STREET, SUITE 200 REDMOND, WA 98052 | TRUSTMARK INSURANCE COMPANY | $40K | $0 | $40K | 18.24% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98366 | DELTA DENTAL OF WASHINGTON | $6K | $0 | $6K | 2.93% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | DELTA DENTAL OF WASHINGTON | $4K | $0 | $4K | 2.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | USABLE LIFE | $9K | $0 | $9K | 6.62% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | USABLE LIFE | $3K | $0 | $3K | 1.98% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $198 | $4K | 11.51% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $175 | $2K | 4.60% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 701 5TH AVENUE, SUITE 550 SEATTLE, WA 98104 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $299 | $299 | 0.88% |
| PATRICK N. KELLEY AND OTHER AGENTS3 | PO BOX 4384 SOUTH COLBY, WA 98384 | AFLAC | $1K | $49 | $1K | 4.24% |
| SHAWN MARIE BRIDGEMAN3 | 6030 SHAWN DRIVE SW OLYMPIA, WA 98512 | AFLAC | $854 | $122 | $976 | 3.22% |
| SUZANNE OBRIEN3 | PO BOX 495 PORT ORCHARD, WA 98366 | AFLAC | $654 | $0 | $654 | 2.16% |
| LISA A. TAYLOR3 | 4500 CHANTING CIRCLE SW PORT ORCHARD, WA 98367 | AFLAC | $515 | $0 | $515 | 1.70% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | AFLAC | $364 | $0 | $364 | 1.20% |
| COTTER CONSULTING & BENEFITS INC3 Filed as: COTTER CONSULTING & BENEFITS, INC. | 13526 160TH AVENUE NE REDMOND, WA 98052 | AFLAC | $275 | $0 | $275 | 0.91% |
| NORTHWEST BENEFIT ADVISORS, INC.3 | 11811 NE 1ST STREET, SUITE 302 BELLEVUE, WA 98005 | AFLAC | $273 | $0 | $273 | 0.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.27% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | VISION SERVICE PLAN | $692 | $0 | $692 | 3.21% |
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 | 260 | 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) | 260 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 279 | $3.0M |
| Dental | DELTA DENTAL OF WASHINGTON | 377 | $215K |
| Vision | VISION SERVICE PLAN | 219 | $22K |
| Life insurance(3 contracts, 3 carriers) | TRUSTMARK INSURANCE COMPANY | 260 | $394K |
| Long-term disability | USABLE LIFE | 260 | $140K |
| Prescription drug | REGENCE BLUESHIELD | 279 | $3.0M |
| Other(4 contracts, 4 carriers) | TRUSTMARK INSURANCE COMPANY | 260 | $424K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 377 | — |
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.