| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP LLC | 1111 LAKE WASHINGTON BLVD STE 400 RENTON, WA 98056 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $15K | $0 | $15K | 3.12% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP LLC | 1111 LAKE WASHINGTON BLVD STE 400 RENTON, WA 98056 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $6K | $0 | $6K | 3.11% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE STE 100 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $979 | $6K | 11.90% |
| WATCHTOWER TECHNOLOGIES INC3 Filed as: WATCHTOWER TECHNOLOGIES, INC. | 306 WEST ERIE STREET SUITE 300 CHICAGO, IL 60654 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $734 | $0 | $734 | 1.50% |
| THE PARTNERS GROUP LTD-SEATTLE3 | 11850 SW 67TH AVE SUITE 100 PORTLAND, OR 97223 | DELTA DENTAL OF WASHINGTON | $2K | $0 | $2K | 5.43% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE STE 100 PORTLAND, OR 97223 | WILLAMETTE DENTAL GROUP | $899 | $0 | $899 | 5.00% |
| DAVID ROJAS3 | 169 EAGLE RIDGE DR E PUYALLUP, WA 98374 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 7.52% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP, LLC | 1111 LAKE WASHINGTON BLVD STE 400 RENTON, WA 98056 | CONTINENTAL AMERICAN INSURANCE COMPANY | $795 | $0 | $795 | 4.48% |
| KYONG H. GOINS3 Filed as: KYONG HIU GOINS | 7711 27TH AVE SW SEATTLE, WA 98126 | CONTINENTAL AMERICAN INSURANCE COMPANY | $172 | $0 | $172 | 0.97% |
| CLACK ATTACK AGENCY, LLC3 | 949 MARKET STREET STE 542 TACOMA, WA 98402 | CONTINENTAL AMERICAN INSURANCE COMPANY | $158 | $0 | $158 | 0.89% |
| TRISHAWNA SCOTT HAYES3 | 12014 133RD ST E PUYALLUP, WA 98374 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | $0 | $55 | 0.31% |
| JEFF DALABA3 Filed as: JEFF CLACK | 4215 BOULDER CT GIG HARBOR, WA 98332 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | $0 | $18 | 0.10% |
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 | 169 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 63 | $686K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WASHINGTON | 46 | $51K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $49K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $49K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 14 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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."
No prospect flags tripped on this filing.