| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO PACIFIC INSURANCE | 800 5TH AVENUE NORTH, SUITE 2400 SEATTLE, WA 98109 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $8 | $12K | 17.15% |
| LEHMANN WOOD AND ASSOCIATES, INC.3 Filed as: LEHMANN WOOD JOHNSON INC | 12439 NE BEL RED ROAD BELLEVUE, WA 98005 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 15.09% |
| LIFE AND HEALTH UNDERWRITERS, INC.3 | 1200 5TH AVENUE, SUITE 1800 SEATTLE, WA 98101 | VISION SERVICE PLAN | $490 | — | $490 | 3.00% |
| UNKNOWN3 | UNKNOWN SEATTLE, WA 98109 | FIRST CHOICE HEALTH NETWORK | $494 | — | $494 | 9.62% |
| LEHMAN WOOD JOHNSON INC3 | 12439 BEL RED ROAD BELLEVUE, WA 98005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $79 | — | $79 | 2.00% |
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 | 203 | 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) | 203 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 194 | $16K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $116K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $68K |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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.