| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC. | 3520 THOMASVILLE RD STE 500 TALLAHASSEE, FL 32309 | AMERITAS LIFE INSURANCE CORP. | — | $1K | $1K | 2.90% |
| PROPEL INSURANCE AGENCY LLC3 | PO BOX 2940 TACOMA, WA 98401 | AMERITAS LIFE INSURANCE CORP. | — | $158 | $158 | 0.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 NONE | Claims processing; Contract Administrator; Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $933K |
| AETNA NONE | Direct payment from the plan; Claims processing Service code 12 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $576K |
| WELFARE AND PENSION ADMIN. SERVICE EIN 91-1363171 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing Service code 12 | — | $424K |
| UNITEHERE LOCAL 8 EIN 91-0968179 PARTICIPATING LOCAL | Direct payment from the plan; Other services Service code 49 | — | $82K |
| BROWN & BROWN OF WA, INC EIN 91-0378940 NONE | Insurance brokerage commissions and fees; Insurance services; Consulting (general); Direct payment from the plan Service code 16 | — | $81K |
| FIRST CHOICE HEALTH NETWORK, INC. EIN 91-1272766 NONE | Other services; Direct payment from the plan Service code 49 | — | $75K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $67K |
| WEINBERG, ROGER, AND ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $43K |
| US BANK N.A. EIN 31-0841368 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Float revenue; Custodial (securities) Service code 19 | — | $30K |
| BANK OF AMERICA MERRILL LYNCH EIN 94-1687665 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $28K |
| RBC WEALTH MANAGEMENT EIN 41-1416330 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $20K |
| HEALTH CARE COST MGMT. CORP EIN 94-3283661 NONE | Other services; Direct payment from the plan Service code 49 | — | $11K |
| SERVICE PRINTING EIN 91-0830372 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $9K |
| LEGEND DATA SYSTEMS, INC. NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 18024 72ND AVE S KENT, WA 98032 | $7K |
| CHANGE HEALTHCARE EIN 20-5731067 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $5K |
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 | 3,003 | 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) | 3,003 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL OF WASHINGTON, INC. | 317 | $98K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 2,812 | $50K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,208 | $38K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,724 | $200K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,938 | $1.2M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,208 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,938 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.