No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Consulting (general); Claims processing Service code 12 | PO BOX 644546 PITTSBURGH, PA 15264 | $1.5M |
| A.W. REHN AND ASSOCIATES EIN 91-1008626 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $977K |
| DELTA DENTAL NONE | Claims processing; Direct payment from the plan Service code 12 | PO BOX 75983 SEATTLE, WA 98175 | $239K |
| AETNA EIN 23-2710210 NONE | Direct payment from the plan Service code 50 | — | $216K |
| ENVISION PHARMACEUTICAL SERVICES NONE | Direct payment from the plan; Claims processing Service code 12 | 1100 INVESTMENT BLVD EL DORADO HILLS, CA 95762 | $136K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $108K |
| RAINIER INVESTMENT MANAGEMENT EIN 91-1457076 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $104K |
| ROBBLEE, DETWILER & BLACK, PLLP EIN 91-1534732 NONE | Legal; Direct payment from the plan Service code 29 | — | $80K |
| FULLY EFFECTIVE EMPLOYEES EIN 91-1742034 NONE | Other services; Direct payment from the plan Service code 49 | — | $63K |
| QLIANCE MEDICAL GROUP NONE | Other services; Direct payment from the plan Service code 49 | 521 2ND PLACE N KENT, WA 980324537 | $59K |
| WASHINGTON TRUST BANK PARTY-IN-INTEREST | Direct payment from the plan; Custodial (other than securities) Service code 18 | PO BOX 2127 SPOKANE, WA 99210 | $58K |
| ANASTASI, MOORE & MARTIN PLLC EIN 20-8199084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $37K |
| TURNER, STOEVE & GAGLIARDI PS EIN 91-1282506 NONE | Legal; Direct payment from the plan Service code 29 | — | $35K |
| HEALTH MANAGEMENT SERVICES NONE | Direct payment from the plan; Other fees Service code 50 | 3000 A STREET SUITE 300 ANCHORAGE, AK 99503 | $33K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $26K |
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 | 3,918 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,270 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 4,133 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,133 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.