| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 3018 BOTHELL, WA 98041 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 9.47% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NORTHEAST 195TH STREET BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 7.50% |
| MJ INSURANCE3 Filed as: SEAN HARRINGTON AND VARIOUS AGENTS | 11151 MIERAS ROAD YAKIMA, WA 98901 | AFLAC | $3K | $0 | $3K | 4.85% |
| GERALD INGRAHAM3 | PO BOX 133 MOXEE, WA 98936 | AFLAC | $2K | $0 | $2K | 2.59% |
| VIRGINIA R. STAGGERS3 | 260 NORTHWEST GOLDEN HILLS DRIVE SUITE 29 PULLMAN, WA 99163 | AFLAC | $1K | $0 | $1K | 2.20% |
| BRIAN W. BALMES3 | 757 HIGH VALLEY ROAD SELAH, WA 98942 | AFLAC | $828 | $0 | $828 | 1.34% |
| LINDA F CRAIG3 Filed as: LINDA F. CRAIG | 1338 TRACTOR LOOP EAST WENATCHEE, WA 98802 | AFLAC | $570 | $0 | $570 | 0.92% |
| MARK D. VAN HOLLEBEKE3 | PO BOX 390 SUNNYSIDE, WA 98944 | AFLAC | $401 | $0 | $401 | 0.65% |
| TRICIA CHARLES3 | 1118 WEST LINCOLN AVENUE SUITE B YAKIMA, WA 98902 | AFLAC | $362 | $0 | $362 | 0.59% |
| STEALTH PARTNER GROUP LLC3 | 18940 NORTH PIMA ROAD SUITE 210 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | — | $1K | $1K | 5.95% |
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 | 150 | 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) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 150 | $67K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 150 | $67K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 151 | $152K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.