| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BERG BENEFITS, INC.3 Filed as: BERG ANDONIAN, INC. | P.O. BOX 66029 TACOMA, WA 984640075 | VISION SERVICE PLAN | $693 | — | $693 | 6.13% |
| DVG INSURANCE, INC.3 Filed as: DVG INSURANCE INC. | 6512 18TH AVENUE NW SEATTLE, WA 98117 | AFLAC | $310 | — | $310 | 4.92% |
| RAPPORT BENEFITS GROUP INC.3 | 1423 EAST 29TH STREET 205 TACOMA, WA 98404 | AFLAC | $207 | — | $207 | 3.28% |
| LEZLEY K. ANDERSON3 Filed as: LEZLEY K ANDERSON | 13023 NE HIGHWAY 99 SUITE 7-293 VANCOUVER, WA 98686 | AFLAC | $174 | — | $174 | 2.76% |
| BENJAMIN G FUHRIMAN3 | 1441 NORTH 570 EAST SHELLEY, ID 83274 | AFLAC | $99 | — | $99 | 1.57% |
| CHARLES HUGH MACKAY3 | 18250 142ND AVENUE NE WOODINVILLE, WA 98072 | AFLAC | $76 | — | $76 | 1.21% |
| JACOB J MCINTOSH3 | 665 SOUTH WOODRUFF AVENUE SUITE 250 IDAHO FALLS, OR 83401 | AFLAC | $57 | — | $57 | 0.90% |
| DAVID E CIAMPOLI3 | 1204 BIG OAK DRIVE ALMA, AR 72921 | AFLAC | $48 | — | $48 | 0.76% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH STREET WOODINVILLE, WA 98072 | AFLAC | $40 | — | $40 | 0.63% |
| CHARLES H WEISSBERGER3 | 5128 CREEKMONTE DRIVE ROCHESTER, MI 48306 | AFLAC | $28 | — | $28 | 0.44% |
| CHARLES H WEISSBERGER3 | 308 GRAHAM AVENUE SE RENTON, WA 98059 | AFLAC | $24 | — | $24 | 0.38% |
| HILARY K CAHILL3 | 25540 SE 274TH PLACE MAPLE VALLEY, WA 98038 | AFLAC | $14 | — | $14 | 0.22% |
| CRAIG A HANSEN3 | 6848 RIVERDALE DRIVE SE TUMWATER, WA 98501 | AFLAC | $9 | — | $9 | 0.14% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY MOGER | 24229 SE 147TH PLACE ISSAQUAH, WA 98027 | AFLAC | $6 | — | $6 | 0.10% |
| HEATHER L TOMSON3 | 63607 NE 9TH STREET RENTON, WA 98056 | AFLAC | $3 | — | $3 | 0.05% |
| JOSHUA PAUL GROUP INC3 Filed as: JOSHUA M HELDEROP | 10509 NE 120TH PLACE KIRKLAND, WA 98034 | AFLAC | $2 | — | $2 | 0.03% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.02% |
| SCOTT W BLACKSHEAR3 | 3453 CATHRYN DRIVE COLUMBUS, GA 31906 | AFLAC | $1 | — | $1 | 0.02% |
| AMANDA M GRIFFITH3 | 11400 SE 8TH STREET SUITE 375 BELLEVUE, WA 98004 | AFLAC | $1 | — | $1 | 0.02% |
| DEANA SCHROEDER3 | 23115 120TH AVENUE SE KENT, WA 98031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $61 | — | $61 | 1.31% |
| SANDRA L AYERS3 | P.O. BOX 291 SAN JUAN BAUTISTA, CA 95045 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $58 | — | $58 | 1.25% |
| ALLISON J. CRANDALL3 Filed as: ALLISON J CRANDALL | 206 MCMAHON LANE SW ORTING, WA 98360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $55 | — | $55 | 1.18% |
| ROBERT WILLIAM PLATTE3 | 15221 227TH AVENUE NE WOODINVILLE, WA 98077 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.49% |
| KENT ANTHONY SHERMAN3 | 19230 LAKE FRANCES ROAD SE MAPLE VALLEY, WA 98038 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.37% |
| WHITFIELD BENEFIT SOLUTIONS3 | 341 WEST TUDOR ROAD ANCHORAGE, AK 99503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.24% |
| BERG BENEFITS, INC.3 Filed as: BERG ANDONIAN, INC. | P.O. BOX 66029 TACOMA, WA 984640075 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $174 | — | $174 | 4.45% |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL OF WASHINGTON, INC. | 7 | $4K |
| Vision | VISION SERVICE PLAN | 97 | $11K |
| Other(2 contracts, 2 carriers) | AFLAC | 9 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 97 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.