| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES | PO BOX 10088 YAKIMA, WA 98909 | PREMERA BLUE CROSS | $60K | $2K | $62K | 6.52% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | 125 N 50TH AVE YAKIMA, WA 98908 | LIFEWISE ASSURANCE COMPANY | $0 | $8K | $8K | 2.63% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 2528 TRI CITIES, WA 99302 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $1K | $5K | 16.74% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS INC | 7001 220TH ST SW MOUNTLAKE TERRACE, WA 98043 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $301 | $2K | 6.01% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 10088 YAKIMA, WA 98909 | VISION SERVICE PLAN | $949 | $0 | $949 | 6.08% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE | PO BOX 10088 YAKIMA, WA 98909 | METROPOLITAN LIFE INSURANCE COMPANY | $221 | $0 | $221 | 11050.00% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS INC | PO BOX 34315 M/S 320 SEATTLE, WA 98124 | METROPOLITAN LIFE INSURANCE COMPANY | $123 | $14 | $137 | 6850.00% |
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 | 109 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 210 | $955K |
| Dental | PREMERA BLUE CROSS | 210 | $955K |
| Vision | VISION SERVICE PLAN | 110 | $16K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 123 | $30K |
| Long-term disability(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 123 | $30K |
| Prescription drug | PREMERA BLUE CROSS | 210 | $955K |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 109 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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.