| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUEBENEFITS LLC3 | 1325 4TH AVENUE, SUITE 1900 SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 2.00% |
| TRUE BENEFITS LLC3 | 601 UNION STREET SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 12.55% |
| WA EMPLOYEE BENEFITS LLC3 | 28313 REDONDO WAY SOUTH APARTMENT 105 DES MOINES, WA 98198 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $525 | $302 | $827 | 6.10% |
| KEITH HOWARD LEFEVRE3 | 8885 LADY MADONNA CIRCLE, UNIT 306 HIGHLANDS RANCH, CO 90129 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $424 | $111 | $535 | 3.94% |
| MEGAN ELIZABETH CASTO3 Filed as: MEGAN ELIZABTH CASTO | 10340 CARNEY DRIVE SE OLYMPIA, WA 98501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $388 | $113 | $501 | 3.69% |
| MJ INSURANCE3 Filed as: FRANK T. BAILEY AND VARIOUS AGENTS | 3630 LOC SAULT AVENUE ANCHORAGE, AK 99516 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $263 | $91 | $354 | 2.61% |
| RANDELL LYNN KRUSE3 | 2018 DAYTON COURT SE RENTON, WA 98055 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $227 | $26 | $253 | 1.87% |
| JODI MOYLAN3 | 19103 MERIDIAN EAST, UNIT 37 PUYALLUP, WA 98375 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $124 | $27 | $151 | 1.11% |
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 | 195 | 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) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 165 | $18K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $126K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $126K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $126K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $146K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.