| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES, LLC | 2258 WESTBOROUGH BLVD., STE 302-328 SOUTH SAN FRANCISCO, CA 94080 | SWISS RE CORPORATE SOLUTIONS AMERICA INS. CORP. | — | $226K | $226K | 7.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Product termination fees (surrender charges, etc.); Claims processing; Direct payment from the plan; Insurance services; Accounting (including auditing) Service code 10 | — | $2.2M |
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Copying and duplicating; Accounting (including auditing); Participant communication; Direct payment from the plan; Plan Administrator; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 10 | — | $1.8M |
| CHRISTENSEN JAMES & MARTIN, CHTD EIN 88-0330040 NONE | Legal; Direct payment from the plan Service code 29 | — | $387K |
| ARCHIMEDES, LLC EIN 81-1158028 NONE | Direct payment from the plan; Other services Service code 49 | — | $291K |
| THE URBAN LAW FIRM EIN 75-2986189 NONE | Legal; Direct payment from the plan Service code 29 | — | $182K |
| RENALOGIC, INC. EIN 22-3857341 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $160K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $136K |
| WASHINGTON CAPITAL MANAGEMENT EIN 91-1042342 NONE | Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | — | $120K |
| SMART SOURCE LLC EIN 30-3830429 NONE | Other services; Direct payment from the plan Service code 49 | — | $106K |
| FERGUSON WELLMAN CAPITAL MANAGEMENT EIN 93-0646988 NONE | Investment management fees paid directly by plan; Other fees; Direct payment from the plan Service code 50 | — | $84K |
| CANOPY WELLBEING EIN 93-0774210 NONE | Direct payment from the plan; Employee (plan sponsor) Service code 35 | — | $78K |
| PACIFIC HEALTH COALITION EIN 94-3283661 NONE | Direct payment from the plan; Other services Service code 49 | — | $74K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $66K |
| LOCKTON EIN 20-3354970 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $60K |
| RUBIN BROWN LLP NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 7676 FORSYTH BLVD, SUITE 2100 SAINT LEWIS, MO 63105 | $60K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Other services; Insurance services; Direct payment from the plan Service code 23 | — | $58K |
| VIRTA MEDICAL P.C. NONE | Direct payment from the plan Service code 50 | 501 FOLSOM ST SAN FRANCISCO, CA 94105 | $45K |
| WITHUM SMITH BROWN EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $42K |
| IFEBP EIN 39-1034021 NONE | Direct payment from the plan Service code 50 | — | $28K |
| CAREINGTON DENTAL EIN 75-2425662 NONE | Insurance services; Plan Administrator Service code 14 | — | $25K |
| R.V. KHUNS & ASSOCIATES, INC. NONE | Direct payment from the plan Service code 50 | 1000 SW BROADWAY STE. 1680 PORTLAND, OR 97205 | $25K |
| US BANK EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $17K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $17K |
| CLAIMS-X-CHANGE, LLC NONE | Consulting (general); Direct payment from the plan Service code 16 | 14200 MIDWAY ROAD, SUITE 106 DALLAS, TX 75244 | $14K |
| PLATFORM CPA'S LLP EIN 88-4342576 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $14K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $8K |
| ELLIOTT FAMILY ENTERPRISES EIN 13-4342386 NONE | Other fees; Direct payment from the plan Service code 50 | — | $6K |
| HOLLYWOOD IMPRESS PRINTING NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 5509 NE 122ND AVE 420 PORTLAND, OR 97230 | $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 | 5,447 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 275 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,722 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 356 | $1.8M |
| Dental | DELTA DENTAL OF WASHINGTON | 11,654 | $2.2M |
| Life insurance | USABLE LIFE | 1,497 | $66K |
| Stop-loss / reinsurancereinsurance | SWISS RE CORPORATE SOLUTIONS AMERICA INS. CORP. | 5,381 | $3.2M |
| Other | USABLE LIFE | 1,497 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,654 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.