| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM DUNAGAN3 Filed as: WILLIAM R. DUNAGAN | 27034 111TH PLACE SE KENT, WA 98030 | AFLAC | $5K | $260 | $5K | 12.53% |
| JACOB J MCINTOSH3 Filed as: JACOB J. MCINTOSH | 7180 SW FIR LOOP, SUITE 250 TIGARD, OR 97223 | AFLAC | $881 | $52 | $933 | 2.40% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH STREET WOODINVILLE, WA 98072 | AFLAC | $586 | $52 | $638 | 1.64% |
| COTTER CONSULTING & BENEFITS INC3 Filed as: COTTER CONSULTING AND BENEFITS INC. | 13526 160TH AVENUE NE REDMOND, WA 98052 | AFLAC | $577 | — | $577 | 1.49% |
| MJ INSURANCE3 Filed as: HILLARY CAHILL AND VARIOUS AGENTS | 25540 SE 274TH PLACE MAPLE VALLEY, WA 98038 | AFLAC | $441 | — | $441 | 1.14% |
| DAVID E CIAMPOLI3 Filed as: DAVID E. CIAMPOLI | 109 NORTH PLAZA COURT VAN BUREN, AR 72956 | AFLAC | $187 | — | $187 | 0.48% |
| KIMBERLEY MOGER3 | 14716 SE 83RD PLACE NEW CASTLE, WA 98059 | AFLAC | $137 | — | $137 | 0.35% |
| LIBERTY BENEFITS GROUP LLC3 Filed as: LIBERTY BENEFITS GROUP, LLC | 4100 194TH STREET SW, SUITE 380 LYNNWOOD, WA 98036 | VISION SERVICE PLAN | $738 | — | $738 | 7.55% |
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 | 206 | 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) | 206 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WASHINGTON | 244 | $109K |
| Vision | VISION SERVICE PLAN | 133 | $10K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 206 | $45K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 206 | $45K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 206 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 244 | — |
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.