| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SERVICES, LLC | 800 5TH AVENUE, SUITE 2400 SEATTLE, WA 981043176 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $0 | $9K | 15.00% |
| LEHMANN WOOD AND ASSOCIATES, INC. Filed as: LEHMANN WOOD AND ASSOCIATES | 12439 NE BEL RED ROAD BELLEVUE, WA 98005 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $0 | $6K | 12.13% |
| LEHMANN WOOD AND ASSOCIATES, INC.3 Filed as: LEHMANN WOOD JOHNSON, INC. | 12505 NE BEL RED ROAD SUITE 101 BELLEVUE, WA 98005 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $964 | $0 | $964 | 2.05% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INSURANCE SERVICES, LLC | 800 5TH AVEUNE, SUITE 2400 SEATTLE, WA 98104 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $330 | $0 | $330 | 0.70% |
| LIFE AND HEALTH UNDERWRITERS, INC.3 | 601 UNION STREET, SUITE 2723 SEATTLE, WA 98101 | VISION SERVICE PLAN | $464 | $0 | $464 | 3.00% |
| UNKNOWN3 | UNKNOWN SEATTLE, WA 98101 | FIRST CHOICE HEALTH NETWORK | $495 | $0 | $495 | 9.62% |
| LEHMANN WOOD AND ASSOCIATES, INC.3 Filed as: LEHMANN WOOD JOHNSON, INC. | 12505 NE BEL RED ROAD BELLEVUE, WA 98005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $58 | $0 | $58 | 1.87% |
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 | 216 | 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) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 195 | $15K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 216 | $109K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 216 | $58K |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 216 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.