| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NW | UNKNOWN BOTHELL, WA 98011 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 15.00% |
| CONNEXION INSURANCE SOLUTIONS3 | UNKNOWN SEATTLE, WA 98115 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $0 | $2K | $2K | 5.00% |
| TRICIA CHARLES3 | 1118 WEST LINCOLN AVENUE SUITE B YAKIMA, WA 98902 | AFLAC | $1K | $30 | $1K | 10.73% |
| GAYLE ANN MANI DUNBAR3 | 621 SOUTH 30TH AVENUE YAKIMA, WA 98902 | AFLAC | $621 | $20 | $641 | 4.72% |
| JUANITA K. ACOB3 | 1317 SOUTH 21ST AVENUE, SUITE 1 YAKIMA, WA 98902 | AFLAC | $480 | $13 | $493 | 3.63% |
| DAVID JOSHUA ABDELAZIZ3 | 6404 DODGER DRIVE PASCO, WA 99301 | AFLAC | $262 | $15 | $277 | 2.04% |
| MJ INSURANCE3 Filed as: MICHEL MAYER & VARIOUS AGENTS | 4406 CAMPOLINA LANE PASCO, WA 99301 | AFLAC | $168 | $0 | $168 | 1.24% |
| GERALD INGRAHAM3 | PO BOX 133 MOXEE, WA 98936 | AFLAC | $132 | $0 | $132 | 0.97% |
| SANDRA L. GIRARD3 | 1116 SONORA AVENUE MANTECA, CA 95337 | AFLAC | $103 | $0 | $103 | 0.76% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 3018 BOTHELL, WA 98041 | VISION SERVICE PLAN | $753 | $0 | $753 | 6.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NORTHEAST 195TH STREET BOTHELL, WA 98011 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $661 | $0 | $661 | 10.61% |
| ESSENTIAL OIL JOY3 | 2909 SOUTH HARPER VALLEY WAY RIDGEFIELD, WA 98642 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $102 | $0 | $102 | 1.64% |
| VALORIE L STRICKLAND3 Filed as: VALORIE L. STRICKLAND | 1437 CIMARRON PLACE RICHLAND, WA 99352 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $70 | $0 | $70 | 1.12% |
| MJ INSURANCE3 Filed as: CHRISTOPHER BERRY & VARIOUS AGENTS | 27108 162ND STREET SOUTHEAST MONROE, WA 98272 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $29 | $0 | $29 | 0.47% |
| BENEFITS BY DESIGN INC3 | 2101 NORTHEAST 279TH STREET RIDGEFIELD, WA 98642 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15 | $0 | $15 | 0.24% |
| LUANN E DAVIS3 Filed as: LUANN E. DAVIS | 325 NORTH GRANT STREET KENNEWICK, WA 99336 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 0.19% |
| CHRISTINE LYNN MORGESTER3 | 14913 SOUTH SUNTERRA LOOP OREGON CITY, OR 97045 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | UNKNOWN YAKIMA, WA 98901 | FIRST CHOICE HEALTH | $180 | — | $180 | 5.00% |
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 | 90 | 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) | 90 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AFLAC | 11 | $14K |
| Vision | VISION SERVICE PLAN | 104 | $11K |
| Life insurance(2 contracts, 2 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 139 | $42K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 11 | $20K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 139 | $36K |
| Other(4 contracts, 4 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 150 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 150 | — |
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.