| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | DELTA DENTAL OF WASHINGTON | $34K | — | $34K | 1.56% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION ST SUITE 1501 SEATTLE, WA 98101 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $68K | $0 | $68K | 9.94% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $720 | $720 | 0.10% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 100878852 | KAISER FOUNDATION HEALTH PLAN INC. | $18K | — | $18K | 2.93% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATINAL INSURANCE ADVIS | 601 UNION STREET 10TH FLOOR SEATTLE, WA 98101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $29K | — | $29K | 5.00% |
| M HOLDINGS SECURITIES INC.3 | 1125 NW COUCH STREET, STE 900 ATTN COMMISSIONS DEPT PORTLAND, OR 972094129 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 2.26% |
| LPL FINANCIAL CORP3 | 4707 EXECUTIVE DR ATTN CLIENT COMPENSATION DEPARTMENT SAN DIEGO, CA 921213091 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $376 | $4K | 0.84% |
| RODNEY BENCH3 | 601 UNION STREET, SUITE 1000 SEATTLE, WA 981014064 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 0.66% |
| WILLIAM BEAR3 | 7105 SWAN WAY CARY, IL 600136043 | METROPOLITAN LIFE INSURANCE COMPANY | $89 | — | $89 | 0.02% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | LOCK BOX 28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $2K | — | $2K | 0.65% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL INSURNACE | 601 UNION ST STE 1501 SEATTLE, WA 981011363 | PACIFIC LIFE INSURNACE COMPANY | $123K | — | $123K | 34.73% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE, INC. | PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $2K | — | $2K | 0.83% |
| WILLIS TOWERS WATSON US LLC4 Filed as: TOWERS WATSON DELAWARE INC. | PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN INC | $8K | — | $8K | 2.94% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC. | LOCK BOX 28852 PO BOX 28852 NEW YORK, NY 10087 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | $143 | $5K | 2.07% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION STREET, SUITE 1501 SEATTLE, WA 98101 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 4.18% |
| LIFESTYLE INSURANCE SVCS INC3 Filed as: LIFESTYLE INSURANCE SERVICES,(MGA) | 27811 GOLDEN RIDGE LANE SAN JUAN CAPISTRANO, CA 92675 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 2.00% |
| KAREN A DACEK3 | 7784 HANSEN RD NE BAINBRIDGE ISLAND, WA 98110 | METROPOLITAN LIFE INSURANCE COMPANY | $487 | — | $487 | 0.20% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION ST STE 1501 SEATTLE, WA 98101 | TRANSAMERICA LIFE INSURANCE COMPANY | $26K | — | $26K | 14.11% |
| LIFESTYLE INSURANCE SVCS INC3 | 30270 RANCHO VIEJO RD SUITE B SAN JUAN CAPISTRANO, CA 92675 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 1.42% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | 601 UNION STREET SUITE 1000 SEATTLE, WA 98101 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.18% |
| NEWMAN FINANCIAL SERVICES LLC3 | 6636 CEDAR AVE S STE 100 SAN JUAN CAPISTRANO, CA 92675 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 1.16% |
| ECA FINANCIAL SERVICES INC3 Filed as: ECA FINANCIAL SERVICES INC. | STE B110 7373 E DOUBLETREE RANCH RD SCOTTSDALE, AZ 85258 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 14.97% |
| PILLAR INTERNATIONAL INSURANCE ADVI3 | 601 UNION STREET SUITE 1501 SEATTLE, WA 98101 | BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA | $36K | — | $36K | 65.00% |
| CAMBRIA HEALTH SOLUTIONS4 | 200 SW MARKET ST PORTLAND, OR 97201 | FOUR EVER LIFE INS CO | — | $2K | $2K | 4.00% |
| WILLIS TOWERS WATSON US LLC4 Filed as: WILLIS TOWERS WATSON US LLC. | LOCKBOX #28852 PO BOX 28852 NEW YORK, NY 100878852 | FOUR EVER LIFE INS CO | $1K | — | $1K | 2.00% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BCH, VA 234662949 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 10.23% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BCH, VA 234662949 | PRINCIPAL LIFE INSURANCE COMPANY | $472 | — | $472 | 1.09% |
| JOHN DEEM3 Filed as: JOHN W KELLEY | 4061 POWDER MILL RD CALVERTON MD, MD 207054053 | PRINCIPAL LIFE INSURANCE COMPANY | $74 | — | $74 | 0.17% |
| HCB INC MID ATLANTIC3 Filed as: HCB MID-ATLANTIC | 3535 GRANDVIEW PKWY STE 600 BIRMINGHAM, AL 352431936 | PRINCIPAL LIFE INSURANCE COMPANY | $15 | — | $15 | 0.03% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL | 601 UNION STREET SUITE 1501 SEATTLE, WA 98101 | EXCEPTIONAL RISK ADVISORS | $2K | $0 | $2K | 5.00% |
| DOUGLAS LENHOFF & ASSOCIATES3 | 16325 BOONES FERRY ROAD SUITE 101 LAKE OSWEGO, OR 97035 | EXCEPTIONAL RISK ADVISORS | $1K | $0 | $1K | 3.33% |
| M FINANCIAL HOLDINGS INC3 Filed as: M. FINANCIAL | 1125 NW COUCH STREET SUITE 900 PORTLAND, OR 97290 | EXCEPTIONAL RISK ADVISORS | $200 | $0 | $200 | 0.60% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL INSURANCE | 601 UNION STREET SUITE 1501 SEATTLE, WA 98101 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $3K | — | $3K | 15.00% |
| PILLAR INTERNATIONAL INS ADVISORS3 Filed as: PILLAR INTERNATIONAL INSURANCE | 601 UNION ST STE 1501 SEATTLE, WA 981011363 | PACIFIC LIFE INSURNACE COMPANY | $9K | — | $9K | 46.68% |
| PILLAR INTERNATIONAL INS ADVISORS3 | 601 UNION ST SUITE 1501 SEATTLE, WA 98101 | TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | $740 | — | $740 | 13.00% |
| LIFESTYLE INSURANCE SVCS INC3 | 30270 RANCHO VIEJO RD SUITE B SAN JUAN CAPISTRANO, CA 92675 | TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY | $114 | — | $114 | 2.00% |
| RA BENCH INC3 | KIBBLE AND PRENTICE HOLDING CO 601 UNION ST STE 1000 SEATTLE, WA 98101 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $283 | — | $283 | 5.40% |
| CAROL GARDNER3 Filed as: CAROL A GARDNER | 30448 RANCHO VIEGO RD STE 250 SAN JUAN CAPISTRANO, CA 92675 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $63 | $63 | 1.20% |
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 | 2,232 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 51 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 108 | $1.5M |
| Dental | DELTA DENTAL OF WASHINGTON | 3,733 | $2.2M |
| Vision | VISION SERVICE PLAN | 1,412 | $256K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 2,364 | $1.1M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 2,364 | $688K |
| Long-term disability(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,182 | $654K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 108 | $1.5M |
| Stop-loss / reinsurancereinsurance | LIFEMAP ASSURANCE COMPANY | 5,365 | $1.0M |
| Other(11 contracts, 10 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 2,364 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,365 | — |
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.