| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | PREMERA BLUE CROSS | $41K | $2K | $43K | 5.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SCVES., INC. | 415 NORTH 2ND STREET YAKIMA, WA 98901 | DELTA DENTAL | $4K | $0 | $4K | 4.56% |
| VALORIE L STRICKLAND3 Filed as: VALORIE L. STRICKLAND | 1437 CIMARRON PLACE RICHLAND, WA 99352 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $90 | $2K | 8.69% |
| GREYHAVENS CONSULTING LLC3 Filed as: GREYHAVENS CONSULTING, LLC | 1313 EAST MAPLE STREET BELLINGHAM, WA 98225 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 5.51% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 10088 YAKIMA, WA 98909 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $999 | $0 | $999 | 3.65% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 415 NORTH 2ND STREET YAKIMA, WA 98901 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $814 | $0 | $814 | 2.98% |
| MJ INSURANCE3 Filed as: BRANDY FLAJOLE AND VARIOUS AGENTS | 681 SOUTH 40TH AVENUE WEST RICHLAND, WA 99353 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $522 | $212 | $734 | 2.68% |
| ROBIN JO SANDERS3 | 717 FRANCIS AVENUE WALLA WALLA, WA 99362 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $482 | $76 | $558 | 2.04% |
| LUANN E DAVIS3 Filed as: LUANN E. DAVIS | 325 NORTH GRANT STREET KENNEWICK, WA 99336 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $352 | $168 | $520 | 1.90% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 12100 NE 195TH STREET, SUITE 200 BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $533 | $2K | 16.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SCVES., INC. | 12100 NE 195TH STREET, SUITE 200 BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $383 | $110 | $493 | 4.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 749083 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $803 | $0 | $803 | 6.91% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SCVES., INC. | UNKNOWN YAKIMA, WA 98901 | FIRST CHOICE HEALTH | $203 | $0 | $203 | 5.00% |
| SCOTT R ST MARY3 Filed as: SCOTT ST MARY | 903 NORTH 34TH AVENUE TRAILER 13 YAKIMA, WA 98902 | AFLAC | $96 | $0 | $96 | 2.62% |
| SANDRA L. GIRARD3 Filed as: SANDRA GIRARD | 1116 SONORA AVENUE MANTECA, CA 95337 | AFLAC | $84 | $0 | $84 | 2.29% |
| TRICIA CHARLES3 | 615 SOUTH 48TH AVENUE SUITE B YAKIMA, WA 98908 | AFLAC | $40 | $7 | $47 | 1.28% |
| DAVID S. MCDONNELL3 Filed as: DAVID MCDONNELL | 7004 WEST PIERCE COURT YAKIMA, WA 98908 | AFLAC | $43 | $0 | $43 | 1.17% |
| MICHAEL A MAYER3 Filed as: MICHAEL MAYER | PO BOX 5625 PASCO, WA 99302 | AFLAC | $19 | $7 | $26 | 0.71% |
| MJ INSURANCE3 Filed as: SEAN HARRINGTON AND VARIOUS AGENTS | 11151 MIERAS ROAD YAKIMA, WA 98901 | AFLAC | $18 | $0 | $18 | 0.49% |
| DIXIE D SIMON3 Filed as: DIXIE SIMON | 509 NORTH SHAMROCK ROAD SPOKANE VALLEY, WA 99037 | AFLAC | $16 | $0 | $16 | 0.44% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 71 | $749K |
| Dental(3 contracts, 3 carriers) | PREMERA BLUE CROSS | 112 | $836K |
| Vision | VISION SERVICE PLAN | 106 | $12K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 137 | $39K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 30 | $31K |
| Prescription drug | PREMERA BLUE CROSS | 71 | $749K |
| Other(4 contracts, 4 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 179 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.