| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCM3 | 1325 4TH AVE., STE. 2100 SEATTLE, WA 98101 | KAISER PERMANENTE | $25K | — | $25K | 3.94% |
| MCM3 | 1325 4TH AVE., STE. 2100 SEATTLE, WA 98101 | KAISER PERMANENTE | $26K | — | $26K | 4.83% |
| ALDERWOOD BUSINESS CTR.3 | 3400 188TH ST., STE. 440 LYNNWOOD, WA 98037 | MUTUAL OF AMERICA LIFE INSURANCE COMPANY | — | $317 | $317 | 0.44% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 1325 4TH AVE., STE. 2100 SEATTLE, WA 98101 | VISION SERVICE PLAN | $843 | — | $843 | 6.51% |
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 | 95 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER PERMANENTE | 50 | $1.2M |
| Dental | DELTA DENTAL OF WASHINGTON | 95 | $107K |
| Vision | VISION SERVICE PLAN | 95 | $13K |
| Life insurance | MUTUAL OF AMERICA LIFE INSURANCE COMPANY | 128 | $72K |
| Prescription drug | KAISER PERMANENTE | 50 | $639K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.