| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BARRY C. FOLSOM3 Filed as: BARRY C FOLSOM | 349 WEST JOSEPH SPOKANE, WA 99205 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $26K | — | $26K | 2.74% |
| BARRY C. FOLSOM3 | 349 WEST JOSEPH SPOKANE, WA 99205 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $4K | — | $4K | 2.36% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF WASHINGTON | $2K | — | $2K | 1.82% |
| BARRY C. FOLSOM3 | 349 WEST JOSEPH SPOKANE, WA 99205 | DELTA DENTAL OF WASHINGTON | $1K | — | $1K | 1.18% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | BERKLEY LIFE AND HEALTH INSURANCE CO. | $9K | $1K | $10K | 9.50% |
| BARRY C. FOLSOM3 | 349 WEST JOSEPH AVENUE SPOKANE, WA 99205 | LIFEMAP ASSURANCE COMPANY | $4K | — | $4K | 9.94% |
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 | 268 | 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) | 268 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 177 | $1.1M |
| Dental | DELTA DENTAL OF WASHINGTON | 213 | $110K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 268 | $36K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 268 | $36K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 177 | $1.1M |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO. | 193 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 268 | — |
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.