| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INSURANCE SERVICES INC | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | PREMERA BLUE CROSS | $20K | $6K | $26K | 0.88% |
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INS SERV INC-MOLONEY O'NEIL | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | DELTA DENTAL OF WASHINGTON | $7K | $0 | $7K | 3.00% |
| TERRY K ALLEN | PO BOX 13406 SPOKANE, WA 99213 | AFLAC | $5K | $861 | $6K | 3.74% |
| TERRY K ALLEN | 20930 E HAPPY TRAILS LN OTIS ORCHARDS, WA 99027 | AFLAC | $4K | $9 | $4K | 2.27% |
| DENNIS JAMES SAMS | 312 W 50TH CT KENNEWICK, WA 99337 | AFLAC | $2K | $27 | $2K | 1.27% |
| KEVIN C HALLAM | 5303 S BATES RD SPOKANE, WA 99206 | AFLAC | $1K | $0 | $1K | 0.86% |
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INSURANCE SERVICES INC | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | AFLAC | $1K | $0 | $1K | 0.81% |
| TERRY D ALLEN | 5926 E 11TH AVE SPOKANE, WA 99212 | AFLAC | $947 | $0 | $947 | 0.60% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $709 | $0 | $709 | 0.45% |
| LISA M HALL | 2542 E SUNDOWN DR COEUR D ALENE, ID 83815 | AFLAC | $622 | $8 | $630 | 0.40% |
| GEORGE J KESSLER | 428 W 20TH AVE SPOKANE, WA 99203 | AFLAC | $491 | $80 | $571 | 0.36% |
| CHERYL J LAMPE | PO BOX S MOSES LAKE, WA 98837 | AFLAC | $507 | $29 | $536 | 0.34% |
| MOLONEY & ONEILL LIFE INC Filed as: MOLONEY ONEIILL BENEFITS LLC | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | AFLAC | $510 | $0 | $510 | 0.32% |
| SANDRA J NOE | 2311 W 16TH AVE LOT 210 SPOKANE, WA 99224 | AFLAC | $394 | $0 | $394 | 0.25% |
| VON KLOHE | 1020 E 54TH AVE SPOKANE, WA 99223 | AFLAC | $370 | $0 | $370 | 0.23% |
| ROGER L OLSON | 471 DAVIS LAKE RD USK, WA 99180 | AFLAC | $350 | $0 | $350 | 0.22% |
| AARON CURTIS OLSON | 21900 E CONTRY VISTA DR UNIT U107 LIBERTY LAKE, WA 99019 | AFLAC | $347 | $0 | $347 | 0.22% |
| GEORGE D MACKIE | 3602 S JOHNSON ST KENNEWICK, WA 99337 | AFLAC | $313 | $0 | $313 | 0.20% |
| THOMAS LEROY HARTIG | PO BOX 995 LEWISTON, ID 83501 | AFLAC | $261 | $0 | $261 | 0.17% |
| KRISTEN SUE PLAISANCE | 11315 E 12TH AVE SPOKANE VALLEY, WA 99206 | AFLAC | $231 | $0 | $231 | 0.15% |
| DAN E MECKEL | 17922 S SCOTTIE DOG LN CHENEY, WA 99004 | AFLAC | $225 | $0 | $225 | 0.14% |
| DARAN L WYCKOFF | 2907 E 64TH CT SPOKANE, WA 99223 | AFLAC | $56 | $163 | $219 | 0.14% |
| DIXIE D SIMON | 509 N SHAMROCK RD SPOKANE VALLEY, WA 99037 | AFLAC | $198 | $0 | $198 | 0.13% |
| CRAIG STEVEN BONSON | 28 CHERRY ST TOUCHET, WA 99360 | AFLAC | $182 | $0 | $182 | 0.12% |
| RODERICK ALLEN BAIR | 2900 N GOVERNMENT WAY #19 COEUR D ALENE, ID 83815 | AFLAC | $172 | $0 | $172 | 0.11% |
| MICHAEL A MAYER | PO BOX 5625 PASCO, WA 99302 | AFLAC | $146 | $5 | $151 | 0.10% |
| PEGGY L CAZIER | PO BOX 1574 WALLA WALLA, WA 99362 | AFLAC | $150 | $0 | $150 | 0.10% |
| DANIEL CHARLES HILT | 1994 WALNUT ST MILTON FREEWATER, OR 97862 | AFLAC | $144 | $0 | $144 | 0.09% |
| JEFFERY W HARRIS | 10013 NE HAZEL DELL AVE BOX 236 VANCOUVER, WA 98685 | AFLAC | $142 | $0 | $142 | 0.09% |
| DOUGLAS E ALLEN | 1418 N BELL STREET SPOKANE VALLEY, WA 99016 | AFLAC | $138 | $0 | $138 | 0.09% |
| SANDRA M LOHNES | PO BOX 678 EASTON, WA 98925 | AFLAC | $121 | $7 | $128 | 0.08% |
| ETB INC | 5241 W ORDHARD AVE RATHDRUM, ID 83858 | AFLAC | $90 | $36 | $126 | 0.08% |
| MERLE R ARMSTRONG JR | PO BOX 1134 MOSES LAKE, WA 98837 | AFLAC | $124 | $0 | $124 | 0.08% |
| LUANN E DAVIS | 325 N GRANT STREET KENNEWICK, WA 99336 | AFLAC | $117 | $0 | $117 | 0.07% |
| RODERICK ALLEN BAIR | 505 N ARGONNE RD BLDG C SPOKANE VALLEY, WA 99212 | AFLAC | $108 | $0 | $108 | 0.07% |
| SHERRIE JANE NELSON | 3002 S VANCOUVER ST KENNEWICK, WA 99337 | AFLAC | $103 | $0 | $103 | 0.07% |
| JUDSON T LAW | 7654 N WILLOW WALK LN EAGLE MOUNTAIN, UT 84005 | AFLAC | $102 | $0 | $102 | 0.06% |
| BETTY J JENKINS | 803 S MCKINNEY RD OTHELLO, WA 99344 | AFLAC | $93 | $0 | $93 | 0.06% |
| DANIEL RIFFLE | 8015 N EXCELL DR SPOKANE, WA 99208 | AFLAC | $82 | $0 | $82 | 0.05% |
| TERESA MAUREEN CRAVINHO | 9395 SW SIUSLAW LANE TUALATIN, OR 97062 | AFLAC | $76 | $0 | $76 | 0.05% |
| STACEY A SWIFT | 832 KENNETH ST MOSCOW, ID 83843 | AFLAC | $70 | $0 | $70 | 0.04% |
| CLIFF HARRISON BARROWS | 5716 S FERRALL ST SPOKANE, WA 99223 | AFLAC | $69 | $0 | $69 | 0.04% |
| SEAN F HARRINGTON | 11151 MIERAS RD YAKIMA, WA 98901 | AFLAC | $60 | $0 | $60 | 0.04% |
| CHERYL J LAMPE | PO BOX S MOSES LAKE, WA 98837 | AFLAC | $59 | $0 | $59 | 0.04% |
| MARY B PAULSON | 427 S QUAY PL KENNEWICK, WA 99336 | AFLAC | $49 | $5 | $54 | 0.03% |
| CLIFFORD VICTOR HOLLEY | 23314 E VALLEYWAY AVE LIBERTY LAKE, WA 99019 | AFLAC | $46 | $0 | $46 | 0.03% |
| BRIAN HERRMAN | PO BOX 677 LEWISTON, ID 83501 | AFLAC | $46 | $0 | $46 | 0.03% |
| JAMES R BARS | PO BOX 333 COVE, OR 97824 | AFLAC | $34 | $0 | $34 | 0.02% |
| LEANNE J PARKER | 10420 SW 130TH AVE BEAVERTON, OR 97008 | AFLAC | $32 | $0 | $32 | 0.02% |
| ROBERT T KNOTT | 378 NW VERA AVE #1 COLLEGE PLACE, WA 99324 | AFLAC | $29 | $0 | $29 | 0.02% |
| HEIDI RHODEN | 5390 SMITHSON RD ELLENSBURG, WA 98929 | AFLAC | $20 | $8 | $28 | 0.02% |
| ANDREA DE LEON | PO BOX 156 OTHELLO, WA 99344 | AFLAC | $28 | $0 | $28 | 0.02% |
| LESLIE HEINSEN | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $26 | $0 | $26 | 0.02% |
| JEFFREY H MITCHELL | 2419 NE GRANDHAVEN ST MCMINNVILLE, OR 97128 | AFLAC | $25 | $0 | $25 | 0.02% |
| JAMES A TURNER | 8520 ROAD 11 NE MOSES LAKE, WA 98837 | AFLAC | $24 | $0 | $24 | 0.02% |
| GROUP NORTHWEST INC | 203 W SHANNON AVE SPOKANE, WA 99205 | AFLAC | $24 | $0 | $24 | 0.02% |
| G SCOTT COOKE Filed as: SCOTT E NIELSEN | 718B W FOURTH PLAIN BLVD VANCOUVER, WA 98660 | AFLAC | $23 | $0 | $23 | 0.01% |
| JOEL S LUCAS | 2129 S BELAIR DR MOSES LAKE, WA 98837 | AFLAC | $19 | $0 | $19 | 0.01% |
| CAROL E OLSON | 471 DAVIS LAKE RD 0 USK, WA 99180 | AFLAC | $19 | $0 | $19 | 0.01% |
| PHILBERT E ORTEGA | 15100 SE 38TH ST #763 BELLEVUE, WA 98006 | AFLAC | $16 | $0 | $16 | 0.01% |
| ERIC F CORNETT | 572 SW BLUFF DR STE 100 BEND, OR 97702 | AFLAC | $14 | $0 | $14 | 0.01% |
| RUTH D ELLSWORTH | 6927 S JASPER DR SPOKANE, WA 99224 | AFLAC | $13 | $0 | $13 | 0.01% |
| ELIZABETH STROE | 815 FERN AVE WALLA WALLA, WA 99362 | AFLAC | $13 | $0 | $13 | 0.01% |
| GREGORY E DECCIO | 6704 OLIVER DR YAKIMA, WA 98901 | AFLAC | $12 | $0 | $12 | 0.01% |
| ERNEST E SNOOK | 14011 282ND LN NE DUVALL, WA 98019 | AFLAC | $11 | $0 | $11 | 0.01% |
| SCOTT R ST MARY | 903 N 34TH AVE TRLR 13 YAKIMA, WA 98902 | AFLAC | $10 | $0 | $10 | 0.01% |
| LINDA F CRAIG | 1374 UPLAND DR SUNNYSIDE, WA 98944 | AFLAC | $9 | $0 | $9 | 0.01% |
| SAMUEL G DELEON | PO BOX 156 OTHELLO, WA 99344 | AFLAC | $9 | $0 | $9 | 0.01% |
| COREY H ROWLES | 24417 SE 127TH ST ISSAQUAH, WA 98027 | AFLAC | $9 | $0 | $9 | 0.01% |
| DONNA R WATSON Filed as: DONNA FREESE | 1122 W 59TH ST DAVENPORT, IA 52806 | AFLAC | $8 | $0 | $8 | 0.01% |
| WILLIAM WALTER WARNER | 1420 SERRANO PL APT A REDDING, CA 96003 | AFLAC | $7 | $0 | $7 | 0.00% |
| SANDRA L. GIRARD Filed as: SANDRA L GIRARD | 1116 SONORA AVE MANTECA, CA 95337 | AFLAC | $6 | $0 | $6 | 0.00% |
| BRIAN W. BALMES Filed as: BRIAN W BALMES | 302 S 1ST ST YAKIMA, WA 98901 | AFLAC | $6 | $0 | $6 | 0.00% |
| NAOMI RITA HILARY | 1704 JEFFERSON AVE LA GRANDE, OR 97850 | AFLAC | $5 | $0 | $5 | 0.00% |
| KEVIN B SORIA | 7904 S PENNSYLVANIA DR LITTLETON, CO 80122 | AFLAC | $4 | $0 | $4 | 0.00% |
| KRISTINE G WYCKOFF | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $4 | $0 | $4 | 0.00% |
| GINA SIENIA | PO BOX 446 ECHO, OR 97826 | AFLAC | $3 | $0 | $3 | 0.00% |
| DONNA R WATSON | 1225 E RIVER DR STE 315 DAVENPORT, IA 52803 | AFLAC | $2 | $0 | $2 | 0.00% |
| ERIC DANIEL WEILAND | 14511 SW CORNERSTONE LN SHERWOOD, OR 97140 | AFLAC | $2 | $0 | $2 | 0.00% |
| ERIC BROGAN Filed as: ERIC OGREN | 4722 4TH WAY SW OLYMPIA, WA 98502 | AFLAC | $1 | $0 | $1 | 0.00% |
| ANTHONY D CUCCIA | 19807 103RD ST E BONNEY LAKE, WA 98391 | AFLAC | $1 | $0 | $1 | 0.00% |
| LESLIE J BAILEY | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $1 | $0 | $1 | 0.00% |
| CASEY DALE HOBSON | 13320 W REDWICK DR BOISE, ID 83713 | AFLAC | $1 | $0 | $1 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1420 5TH AVE STE 1500 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $8K | 13.78% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 1420 5TH AVE STE 1500 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $6K | 15.58% |
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 | 302 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 529 | $3.0M |
| Dental | DELTA DENTAL OF WASHINGTON | 591 | $244K |
| Vision | PREMERA BLUE CROSS | 529 | $3.0M |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 620 | $55K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 620 | $36K |
| Prescription drug | PREMERA BLUE CROSS | 529 | $3.0M |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 313 | $512K |
| Other(2 contracts, 2 carriers) | AFLAC | 620 | $213K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 620 | — |
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.