| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST, LLC | PO BOX 3018 BOTHELL, WA 98041 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.68% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUIONS INC | 7001 220TH STREET SW MOUNTLAKE TERRACE, WA 98043 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL LIMITED | 150 NORTH RIVERSIDE PLAZA SUITE 1700 CHICAGO, IL 60606 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $460 | $460 | 1.52% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 2528 PASCO, WA 99302 | PRINCIPAL LIFE INSURANCE COMPANY | $290 | $0 | $290 | 0.96% |
| LINDA F CRAIG3 Filed as: LINDA F. CRAIG AND OTHER AGENTS | 1336 THEO WAY ROCK ISLAND, WA 98850 | AFLAC | $122 | $0 | $122 | 3.06% |
| MELISSA PAUL3 | PO BOX 8010 YAKIMA, WA 98908 | AFLAC | $97 | $0 | $97 | 2.43% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL T. PETTERSON | 203 NORTH CENTENNIAL STREET MOXEE, WA 98936 | AFLAC | $90 | $0 | $90 | 2.26% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 415 NORTH 2ND STREET, SUITE A YAKIMA, WA 98901 | AFLAC | $77 | $0 | $77 | 1.93% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE INC | PO BOX 10088 YAKIMA, WA 98909 | AFLAC | $60 | $0 | $60 | 1.51% |
| SEAN F HARRINGTON3 Filed as: SEAN F. HARRINGTON | 11151 MIERAS ROAD YAKIMA, WA 98901 | AFLAC | $53 | $0 | $53 | 1.33% |
| BRIAN W. BALMES3 | 757 HIGH VALLEY ROAD SELAH, WA 98942 | AFLAC | $52 | $0 | $52 | 1.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 90007 BELLEVUE, WA 98004 | CONTINENTAL AMERICAN INSURANCE COMPANY | $285 | $0 | $285 | 7.57% |
| KYONG H. GOINS3 | 2931 1ST AVENUES, #A SEATTLE, WA 98134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $30 | $0 | $30 | 0.80% |
| GERALD INGRAHAM3 | 6 SOUTH 2ND STREET, SUITE 718 YAKIMA, WA 98901 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | $0 | $17 | 0.45% |
| MICHAEL A MAYER3 Filed as: MICHAEL A. MAYER | 6855 WEST CLEARWATER AVENUE SUITE A101 KENNEWICH, WA 99336 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.27% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL T. PETTERSON | 2807 WEST WASHINGTON AVENUE SUITE 107 YAKIMA, WA 98908 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | $0 | $2 | 0.05% |
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 | 107 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | AFLAC | 15 | $8K |
| Vision(2 contracts, 2 carriers) | AFLAC | 15 | $8K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 117 | $30K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 15 | $8K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 117 | $30K |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 117 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 117 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.