| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INSURANCE SERVICES | 720 OLIVE WAY, #1700 SEATTLE, WA 98101 | DELTA DENTAL OF WASHINGTON | $8K | — | $8K | 3.27% |
| TERRY K ALLEN | 20930 E HAPPY TRAILS LN OTIS ORCHARDS, WA 99027 | AFLAC | $15K | $608 | $16K | 9.15% |
| ALLIANT INSURANCE SERVICES, INC. Filed as: ALLIANT INSURANCE SERVICES INC | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | AFLAC | $3K | — | $3K | 1.87% |
| DENNIS JAMES SAMS | 312 W 50TH CT KENNEWICK, WA 99337 | AFLAC | $3K | $93 | $3K | 1.84% |
| LISA M HALL | 686 W MOGUL LOOP APT 102 HAYDEN, ID 83835 | AFLAC | $2K | $117 | $2K | 1.26% |
| KEVIN C HALLAM | 2145 HYACINTH DR BILLINGS, MT 59105 | AFLAC | $1K | — | $1K | 0.59% |
| HALLEY CONKLIN | 505 N ARGONNE RD BLDG C SPOKANE VALLEY, WA 99212 | AFLAC | $982 | $12 | $994 | 0.58% |
| TERRY D ALLEN | 5926 E 11TH AVE SPOKANE, WA 99212 | AFLAC | $764 | — | $764 | 0.44% |
| MERCER HEALTH AND BENEFITS, LLC Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | AFLAC | $574 | — | $574 | 0.33% |
| AARON CURTIS OLSON | 21900 E COUNTRY VISTA DR UNIT U107 LIBERTY LAKE, WA 99019 | AFLAC | $341 | $29 | $370 | 0.21% |
| CHERYL J LAMPE | PO BOX S MOSES LAKE, WA 98837 | AFLAC | $313 | $54 | $367 | 0.21% |
| MOLONEY & ONEILL LIFE INC Filed as: MOLONEY & ONEILL BENEFITS LLC | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | AFLAC | $366 | — | $366 | 0.21% |
| DARAN L WYCKOFF | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $326 | — | $326 | 0.19% |
| VON KLOHE | 1020 E 54TH AVE SPOKANE, WA 99223 | AFLAC | $318 | — | $318 | 0.18% |
| SANDRA J NOE | 2311 W 16TH AVE LOT 210 SPOKANE, WA 99224 | AFLAC | $273 | — | $273 | 0.16% |
| ROGER L OLSON | 471 DAVIS LAKE RD USK, WA 99180 | AFLAC | $272 | — | $272 | 0.16% |
| GEORGE D MACKIE | 3602 S JOHNSON ST KENNEWICK, WA 99337 | AFLAC | $266 | — | $266 | 0.15% |
| RODERICK ALLEN BAIR | 8827 N GOVERNMENT WAY UNIT 105 HAYDEN, ID 83835 | AFLAC | $203 | — | $203 | 0.12% |
| THOMAS LEROY HARTIG | 914 GRELLE AVE LEWISTON, ID 83501 | AFLAC | $200 | — | $200 | 0.12% |
| DAN E MECKEL | 17922 S SCOTTIE DOG LN CHENEY, WA 99004 | AFLAC | $181 | — | $181 | 0.11% |
| DIXIE D SIMON | 509 N SHAMROCK RD SPOKANE VALLEY, WA 99037 | AFLAC | $145 | — | $145 | 0.08% |
| DANIEL CHARLES HILT | 1994 WALNUT ST MILTON FREEWATER, OR 97862 | AFLAC | $144 | — | $144 | 0.08% |
| PEGGY L CAZIER | PO BOX 1574 WALLA WALLA, WA 99362 | AFLAC | $138 | — | $138 | 0.08% |
| JEFFREY W HARRIS | 10013 NE HAZEL DELL AVE BOX 236 VANCOUVER, WA 98685 | AFLAC | $129 | — | $129 | 0.07% |
| KRISTIN SUE PLAISANCE | 11315 E 12TH AVE SPOKANE VALLEY, WA 99206 | AFLAC | $122 | — | $122 | 0.07% |
| JIMMIE J DELBRIDGE | 1924 E FOXBOROUGH CT HAYDEN, ID 83835 | AFLAC | $120 | — | $120 | 0.07% |
| DOUGLAS E ALLEN | 1418 N BELL ST SPOKANE VALLEY, WA 99016 | AFLAC | $109 | — | $109 | 0.06% |
| LUANN E DAVIS | 325 N GRANT ST KENNEWICK, WA 99336 | AFLAC | $99 | — | $99 | 0.06% |
| SHERRIE JANE NELSON | 3002 S VANCOUVER ST KENNEWICK, WA 99337 | AFLAC | $96 | — | $96 | 0.06% |
| JUDSON T LAW | 7654 N WILLOW WALK LN EAGLE MOUTAIN, UT 84005 | AFLAC | $83 | — | $83 | 0.05% |
| SANDRA M LOHNES | PO BOX 678 EASTON, WA 98925 | AFLAC | $67 | $11 | $78 | 0.05% |
| GEORGE J KESSLER | 428 W 20TH AVE SPOKANE, WA 99203 | AFLAC | $73 | — | $73 | 0.04% |
| CRAIG STEVEN BONSON | 28 CHERRY ST TOUCHET, WA 99360 | AFLAC | $41 | $19 | $60 | 0.03% |
| BRIAN HERRMAN | PO BOX 677 LEWISTON, ID 83501 | AFLAC | $53 | — | $53 | 0.03% |
| MICHAEL A MAYER | 4406 CAMPOLINA LN PASCO, WA 99301 | AFLAC | $34 | $19 | $53 | 0.03% |
| CLIFF HARRISON BARROWS | 5716 S FERRALL ST SPOKANE, WA 99223 | AFLAC | $52 | — | $52 | 0.03% |
| WENDY NADINE RICH | 7102 W 1ST AVE KENNEWICK, WA 99336 | AFLAC | $52 | — | $52 | 0.03% |
| SEAN F HARRINGTON | 11151 MIERAS RD YAKIMA, WA 98901 | AFLAC | $37 | — | $37 | 0.02% |
| STACEY A SWIFT | 832 KENNETH ST MOSCOW, ID 83843 | AFLAC | $34 | — | $34 | 0.02% |
| JAMES R BARS | PO BOX 333 COVE, OR 97824 | AFLAC | $34 | — | $34 | 0.02% |
| LEANNE J PARKER | 10420 SW 130TH AVE BEAVERTON, OR 97008 | AFLAC | $33 | — | $33 | 0.02% |
| CLIFFORD VICTOR HOLLEY | 23314 E VALLEYWAY AVE LIBERTY LAKE, WA 99019 | AFLAC | $32 | — | $32 | 0.02% |
| ROBERT T KNOTT | PO BOX 576 BLANCHARD, ID 83804 | AFLAC | $29 | — | $29 | 0.02% |
| JEFFREY H MITCHELL | 2419 NE GRANDHAVEN ST MCMINNVILLE, OR 97218 | AFLAC | $28 | — | $28 | 0.02% |
| GROUP NORTHWEST INC | 203 W SHANNON AVE SPOKANE, WA 99205 | AFLAC | $24 | — | $24 | 0.01% |
| TERESA MAUREEN CRAVINHO | 9395 SW SIUSLAW LN TUALATIN, OR 97062 | AFLAC | $23 | — | $23 | 0.01% |
| G SCOTT COOKE Filed as: SCOTT E NIELSEN | 718B W FOURTH PLAIN BLVD VANCOUVER, WA 98660 | AFLAC | $20 | — | $20 | 0.01% |
| JOEL S LUCAS | 2129 S BELAIR DR MOSES LAKE, WA 98837 | AFLAC | $19 | — | $19 | 0.01% |
| USI INSURANCE SERVICES LLC | 8000 NORMAN CENTER DR STE 400 MINNEAPOLIS, MN 55437 | AFLAC | $18 | — | $18 | 0.01% |
| MARY B PAULSON | 427 S QUAY PL KENNEWICK, WA 99336 | AFLAC | $16 | — | $16 | 0.01% |
| PHILBERT E ORTEGA | 15100 SE 38TH ST #763 BELLEVUE, WA 98006 | AFLAC | $14 | — | $14 | 0.01% |
| WORKSITE INSURANCE SERVICES, INC. Filed as: WORKSITE INSURANCE SVCS INC | 33 HIGH ST MINERAL POINT, WI 53565 | AFLAC | $14 | — | $14 | 0.01% |
| CHRISTOPHER J ZELLNER | 918 ALDORA LN WAUNAKEE, WI 53597 | AFLAC | $14 | — | $14 | 0.01% |
| ELIZABETH STROE | 815 FERN AVE WALLA WALLA, WA 99362 | AFLAC | $13 | — | $13 | 0.01% |
| DONNA R WATSON | PO BOX 1653 BETTENDORF, IA 52722 | AFLAC | $13 | — | $13 | 0.01% |
| PARKER DIXON BROOKS | 13910 E 26TH AVE SPOKANE VALLEY, WA 99037 | AFLAC | $11 | — | $11 | 0.01% |
| CAROL E OLSON | 471 DAVIS LAKE RD USK, WA 99180 | AFLAC | $11 | — | $11 | 0.01% |
| RUTH D ELLSWORTH | 6927 S JASPER DR SPOKANE, WA 99224 | AFLAC | $10 | — | $10 | 0.01% |
| SAMUEL G DELEON | PO BOX 156 OTHELLO, WA 99344 | AFLAC | $9 | — | $9 | 0.01% |
| ERNEST E SNOOK | 14011 282ND LN NE DUVALL, WA 98019 | AFLAC | $8 | — | $8 | 0.00% |
| NAOMI RITA HILARY | 1704 JEFFERSON AVE LA GRANDE, OR 97850 | AFLAC | $5 | — | $5 | 0.00% |
| KEVIN B SORIA | 7904 S PENNSYLVANIA DR LITTLETON, CO 80122 | AFLAC | $4 | — | $4 | 0.00% |
| KRISTINE G WYCKOFF | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $4 | — | $4 | 0.00% |
| ERIC F CORNETT | 572 SW BLUFF DR STE 100 BEND, OR 97702 | AFLAC | $4 | — | $4 | 0.00% |
| DUSTIN PRICE | 1664 ATLANTA CIR MANITOWOC, WI 54220 | AFLAC | $3 | — | $3 | 0.00% |
| ERIC DANIEL WEILAND | 14511 SW CORNERSTONE LN SHERWOOD, OR 97140 | AFLAC | $2 | — | $2 | 0.00% |
| GINA SIENIA | PO BOX 446 ECHO, OR 97826 | AFLAC | $2 | — | $2 | 0.00% |
| PAUL W DESPIRITO | 3051 PROGRESS WAY STE 204 KAUKAUNA, WI 54130 | AFLAC | $1 | — | $1 | 0.00% |
| LESLIE J BAILEY | 4234 N PORTAGE AVE MERIDIAN, ID 83646 | AFLAC | $1 | — | $1 | 0.00% |
| CASEY DALE HOBSON | 13320 W REDWICK DR BOISE, ID 83713 | AFLAC | $1 | — | $1 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 1420 5TH AVE STE 1500 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $9K | $17K | 16.89% |
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 | 304 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 312 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WASHINGTON | 608 | $243K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 327 | $100K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 327 | $100K |
| Other(2 contracts, 2 carriers) | AFLAC | 327 | $272K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 608 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.