| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 601 WEST MAIN AVENUE, SUITE 810 SPOKANE, WA 99201 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $23K | — | $23K | 2.60% |
| CORKERY AND JONES BENEFITS, INC.3 Filed as: CORKERY AND JONES BENEFTS, INC. | 818 WEST RIVERSIDE, SUITE 800 SPOKANE, WA 99201 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $5K | — | $5K | 0.54% |
| MERCER HEALTH AND BENEFITS, LLC3 | 601 WEST MAIN AVENUE, SUITE 810 SPOKANE, WA 99201 | DELTA DENTAL OF WASHINGTON | $5K | — | $5K | 4.59% |
| CORKERY AND JONES BENEFITS, INC.3 | 818 WEST RIVERSIDE, SUITE 800 SPOKANE, WA 99201 | DELTA DENTAL OF WASHINGTON | $432 | — | $432 | 0.42% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 10.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $13 | $13 | 0.02% |
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 | 127 | 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) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 189 | $880K |
| Dental | DELTA DENTAL OF WASHINGTON | 224 | $103K |
| Vision | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 189 | $880K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 128 | $54K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 128 | $54K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 128 | $54K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 189 | $880K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 128 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 224 | — |
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.