| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 2158 RIVERSIDE, CA 92516 | PREMERA BLUE CROSS | $41K | — | $41K | 5.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 415 NORTH 2ND STREET YAKIMA, WA 98901 | DELTA DENTAL OF WASHINGTON | $4K | $0 | $4K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 415 NORTH 2ND STREET YAKIMA, WA 98901 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 4.48% |
| VALORIE L STRICKLAND3 Filed as: VALORIE L. STRICKLAND | 1437 CIMARRON PLANCE RICHLAND, WA 99352 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $37 | $1K | 3.82% |
| GREYHAVENS CONSULTING LLC3 | 1313 EAST MAPLE STREET BELLINGHAM, WA 98225 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 3.42% |
| LUANN E DAVIS3 Filed as: LUANN E. DAVIS AND VAROIUS AGENTS | 325 NORTH GRANT STREET KENNEWICK, WA 99336 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $821 | $171 | $992 | 3.10% |
| CONOVER INSURANCE SERVICES LLC3 | PO BOX 10088 YAKIMA, WA 98909 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $674 | $0 | $674 | 2.10% |
| JESSICA LOREE GROW3 | 10 SOUTH VANCOUVER STREET KENNEWICK, WA 99336 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $293 | $129 | $422 | 1.32% |
| MEGAN ELIZABETH CASTO3 | 10340 CARNEY DRIVE SE OLYMPIA, WA 98501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $230 | $151 | $381 | 1.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 749083 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $837 | $0 | $837 | 6.73% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NORTHEAST 195TH STREE SUITE 200 BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $643 | $2K | 17.31% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NORTHEAST 195TH STREET, SUITE BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $382 | $180 | $562 | 4.97% |
| TRICIA CHARLES3 | 615 SOUTH 48TH AVENUE, SUITE B YAKIMA, WA 98908 | AFLAC | $960 | $0 | $960 | 14.68% |
| GERALD INGRAHAM3 | 6 SOUTH 2ND STREET, SUITE 718 YAKIMA, WA 98901 | AFLAC | $270 | $0 | $270 | 4.13% |
| JUANITA K. ACOB3 Filed as: JUANITA K ACOB | 1317 SOUTH 21ST AVENUE, SUITE 1 YAKIMA, WA 98902 | AFLAC | $234 | $0 | $234 | 3.58% |
| MICHAEL A MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $155 | $0 | $155 | 2.37% |
| MJ INSURANCE3 Filed as: SCOTT R ST MARY AND VARIOUS AGENTS | 903 NORTH 34TH AFVENUE YAKIMA, WA 98902 | AFLAC | $150 | $0 | $150 | 2.29% |
| SANDRA L. GIRARD3 Filed as: SANDRA L GIRARD | 1116 SONORA AVENUE MANTECA, CA 95337 | AFLAC | $103 | $0 | $103 | 1.57% |
| SEAN F HARRINGTON3 | 11151 MIERRAS ROAD YAKIMA, WA 98901 | AFLAC | $84 | $0 | $84 | 1.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 415 NORTH 2ND STREET YAKIMA, WA 98901 | FIRST CHOICE HEALTH | $200 | $0 | $200 | 4.99% |
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 | 94 | 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) | 94 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 74 | $781K |
| Dental(3 contracts, 3 carriers) | PREMERA BLUE CROSS | 152 | $877K |
| Vision | VISION SERVICE PLAN | 103 | $12K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 142 | $43K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 31 | $39K |
| Prescription drug | PREMERA BLUE CROSS | 74 | $781K |
| Other(4 contracts, 4 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 167 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
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.