| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 415 N 2ND ST YAKIMA, WA 98901 | REGENCE BLUE SHIELD | $55K | $2K | $57K | 4.76% |
| CONOVER INSURANCE SERVICES LLC3 | 3911 CASTLEVALE RD., STE. 201 YAKIMA, WA 98902 | REGENCE BLUE SHIELD | $5K | — | $5K | 0.42% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | — | DELTA DENTAL OF WASHINGTON | $4K | — | $4K | 4.59% |
| CONOVER INSURANCE SERVICES LLC3 | — | DELTA DENTAL OF WASHINGTON | $373 | — | $373 | 0.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 3018 BOTHEL, WA 98041 | USABLE LIFE | $7K | — | $7K | 20.00% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS INC | PO BOX 34315 SEATTLE, WA 98124 | USABLE LIFE | $2K | — | $2K | 6.07% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 3018 BOTHEL, WA 98041 | USABLE LIFE | $4K | — | $4K | 20.00% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS INC | PO BOX 34315 SEATTLE, WA 98124 | USABLE LIFE | $2K | — | $2K | 9.65% |
| MELISSA PAUL3 | PO BOX 8010 YAKIMA, WA 98938 | AFLAC | $492 | — | $492 | 7.16% |
| MICHAEL PETTERSON3 | PO BOX 3 MOXEE, WA 98938 | AFLAC | $209 | — | $209 | 3.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 412 N 2ND ST STE. A YAKIMA, WA 98901 | AFLAC | $162 | — | $162 | 2.36% |
| GERALD INGRAHAM3 | 6 S 2ND ST STE 718 YAKIMA, WA 98901 | AFLAC | $108 | — | $108 | 1.57% |
| SEAN F HARRINGTON3 Filed as: SEAN HARRINGTON | 11151 MIERAS RD. YAKIMA, WA 98901 | AFLAC | $92 | — | $92 | 1.34% |
| MICHAEL A MAYER3 Filed as: MICHAEL MAYER | PO BOX 5625 PASCO, WA 99302 | AFLAC | $88 | — | $88 | 1.28% |
| LINDA F CRAIG3 Filed as: LINDA CRAIG | 1374 UPLAND DR SUNNYSIDE, WA 98944 | AFLAC | $77 | — | $77 | 1.12% |
| BRIAN W. BALMES3 Filed as: BRIAN BALMES | 302 S. 1ST ST. YAKIMA, WA 98901 | AFLAC | $77 | — | $77 | 1.12% |
| GERALD INGRAHAM3 | 6 S 2ND ST STE 718 YAKIMA, WA 98901 | AFLAC | $35 | — | $35 | 0.51% |
| SANDRA M LOHNES3 Filed as: SANDRA LOHNES | PO BOX 678 EASTON, WA 98925 | AFLAC | $32 | — | $32 | 0.47% |
| CLIFF HARRISON BARROWS3 | 5718 S FERRAL ST SPOKANE, WA 99223 | AFLAC | $11 | — | $11 | 0.16% |
| DIXIE D SIMON3 Filed as: DIXIE SIMON | 509 N SHAMROCK RD SPOKANE VALLEY, WA 99037 | AFLAC | $10 | — | $10 | 0.15% |
| KRISTEN SUE PLAISANCE3 | 11316 E 12TH AVE SPOKANE VALLEY, WA 99206 | AFLAC | $10 | — | $10 | 0.15% |
| DARAN L WYCKOFF3 Filed as: DARAN WYCKOFF | 505 N ARGONNE BLDG C SPOKANE VALLEY, WA 99212 | AFLAC | $2 | — | $2 | 0.03% |
| JOSHUA HELDEROP3 | 10509 NE 120TH PL KIRKLAND, WA 98034 | AFLAC | $1 | — | $1 | 0.01% |
| KRISTINE G WYCKOFF3 Filed as: KRISTINE WYCKOFF | PO BOX 952 SPOKANE VALLEY, WA 99037 | AFLAC | $1 | — | $1 | 0.01% |
| CRAIG WAYNE SOTTILE3 Filed as: CRAIG HANSEN | 200 17TH AVE E APT 404 SEATTLE, WA 98112 | AFLAC | $1 | — | $1 | 0.01% |
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 | 110 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUE SHIELD | 203 | $1.2M |
| Dental | DELTA DENTAL OF WASHINGTON | 208 | $91K |
| Vision | REGENCE BLUE SHIELD | 203 | $1.2M |
| Life insurance | USABLE LIFE | 110 | $36K |
| Long-term disability(2 contracts) | USABLE LIFE | 110 | $56K |
| Prescription drug | REGENCE BLUE SHIELD | 203 | $1.2M |
| Other(2 contracts, 2 carriers) | USABLE LIFE | 110 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 208 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.