| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROPEL INSURANCE3 Filed as: PROPEL INSURANCE - TACOMA | 1201 PACIFIC AVE #1000 TACOMA, CA 98402 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | — | $2K | $2K | 0.13% |
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES, LLC | 315 MONTGOMERY ST STE 900 SAN FRANCISCO, CA 94104 | HCC LIFE INSURANCE COMPANY | — | $53K | $53K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS EIN 38-2383171 NONE | Direct payment from the plan; Contract Administrator; Plan Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.3M |
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Product termination fees (surrender charges, etc.); Claims processing; Accounting (including auditing); Insurance services Service code 10 | — | $1.3M |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $412K |
| ENVISION RX OPTIONS EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $203K |
| THE URBAN LAW FIRM EIN 75-2986189 NONE | Legal; Direct payment from the plan Service code 29 | — | $199K |
| CHRISTENSEN, JAMES & MARTIN EIN 88-0330040 NONE | Legal; Direct payment from the plan Service code 29 | — | $163K |
| LINDQUIST, LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $156K |
| RENALOGIC EIN 22-3857341 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $118K |
| EMPLOYEE 01 NONE | Employee (plan); Direct payment from the plan Service code 30 | 18300 CASCADE AVE S STE 141 TUKWILLA, WA 98188 | $103K |
| GRANDFLOW EIN 94-3211239 NONE | Other services; Direct payment from the plan Service code 49 | — | $94K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Direct payment from the plan; Insurance agents and brokers; Consulting (general) Service code 16 | — | $93K |
| WASHINGTON CAPITAL MANAGEMENT, INC. EIN 91-1042342 NONE | Investment management fees paid directly by plan; Direct payment from the plan Service code 50 | — | $82K |
| FERGUSON WELLMAN CAPITAL MANAGEMENT EIN 93-0646988 NONE | Investment management fees paid directly by plan; Direct payment from the plan Service code 50 | — | $68K |
| HEALTH MANAGEMENT SYSTEMS, INC. EIN 13-2770433 NONE | Other services; Direct payment from the plan Service code 49 | — | $68K |
| BERRY & COMPANY CPAS, LTD EIN 88-0400174 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $67K |
| CAREINGTON INTERNATIONAL CORP EIN 75-2425662 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $61K |
| EXCELSIOR SOLUTIONS EIN 20-3354970 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $60K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $56K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Direct payment from the plan; Custodial (securities); Distribution (12b-1) fees; Shareholder servicing fees Service code 19 | — | $48K |
| BJORKLUND & MONTPLAISIR CPAS EIN 93-1015766 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $15K |
| ROADRUNNER MAILING SERVICES NONE | Direct payment from the plan; Other services Service code 49 | 46560 FREMONT BLVD UNIT 408 FREMONT, CA 94538 | $8K |
| SERVICE PRINTING CO., INC EIN 91-0830372 NONE | Direct payment from the plan; Other services Service code 49 | — | $6K |
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 | 5,728 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 443 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 6,171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 419 | $1.8M |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 0 | $87K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 5,677 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,677 | — |
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.