| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS. SERVICES WASHINGTON LLC | 800 5TH AVENUE, SUITE 2400 SEATTLE, WA 98104 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $0 | $10K | 14.98% |
| LEHMAN WOOD JOHNSON INC3 Filed as: LEHMAN WOOD AND ASSOCIATES, INC. | 12439 NE BEL-RED ROAD BELLEVUE, WA 98005 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 12.70% |
| SERVCO INSURANCE SERVICES CORP3 Filed as: SERVCO INS. SERVICES WASHINGTON LLC | 800 5TH AVENUE, SUITE 2400 SEATTLE, WA 98104 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 2.50% |
| LIFE AND HEALTH UNDERWRITERS, INC.3 Filed as: LIFE & HEALTH UNDERWRITERS, INC. | 601 UNION STREET, SUITE 2723 SEATTLE, WA 98101 | VISION SERVICE PLAN | $370 | $0 | $370 | 2.76% |
| LEHMAN WOOD JOHNSON INC3 Filed as: LEHMAN WOOD JOHNSON, INC. | 12505 NE BEL RED ROAD BELLEVUE, WA 98005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $43 | $0 | $43 | 2.20% |
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 | 172 | 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) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 156 | $13K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 172 | $109K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 172 | $64K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 172 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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.