| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC. | 1325 FOURTH AVE, SUITE 1705 SEATTLE, WA 98101 | THE UNION LABOR LIFE INSURANCE COMPANY | $19K | — | $19K | 2.00% |
| 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 | — | $374 | $374 | 1.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Claims processing; Accounting (including auditing) Service code 10 | — | $942K |
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Claims processing; Insurance brokerage commissions and fees Service code 12 | — | $491K |
| UNITE HERE LOCAL 8 EIN 91-0968179 PARTICIPATING LOCAL | Direct payment from the plan; Other services Service code 49 | — | $100K |
| BROWN & BROWN OF WASHINGTON, INC. EIN 91-0378940 NONE | Consulting (general); Other commissions; Insurance services; Insurance brokerage commissions and fees; Direct payment from the plan Service code 16 | — | $94K |
| FIRST CHOICE HEALTH NETWORK, INC. EIN 91-1272766 NONE | Other services; Direct payment from the plan Service code 49 | — | $48K |
| WEINBERG, ROGERS & ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $46K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $42K |
| BANK OF AMERICA, NA EIN 94-1687665 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $31K |
| RBC WEALTH MANAGEMENT EIN 41-1416330 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $25K |
| US BANK N.A. EIN 31-0841368 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Custodial (securities); Float revenue Service code 19 | — | $23K |
| KRISTIN MANWARING INSURANCE EIN 20-4650764 NONE | Insurance services; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $22K |
| SERVICE PRINTING COMPANY, INC. EIN 91-0830372 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $6K |
| BROWN & BROWN OF WASHINGOTN, INC. | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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 | 1,991 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,992 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL OF WASHINGTON, INC. | 149 | $63K |
| Vision | AMERITAS LIFE INSURANCE CORP | 2,291 | $32K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,976 | $21K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,884 | $115K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,057 | $929K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,976 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,291 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.