| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST | 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 | $79 | $1K | 11.02% |
| JUANITA K. ACOB3 | 1317 SOUTH 21ST AVENUE, SUITE 1 YAKIMA, WA 98902 | AFLAC | $411 | $33 | $444 | 3.61% |
| SANDRA L. GIRARD3 Filed as: SANDRA L. GIRARD AND OTHER AGENTS | 1116 SONORA AVENUE MANTECA, CA 95337 | AFLAC | $313 | $0 | $313 | 2.54% |
| DAVID JOSHUA ABDELAZIZ3 | 331 SADDLE LEAF CIBOLO, TX 78108 | AFLAC | $271 | $29 | $300 | 2.44% |
| HALEY MARIE CHARLES3 | 261 HILLSTONE DRIVE YAKIMA, WA 98908 | AFLAC | $271 | $0 | $271 | 2.20% |
| JARED ABRAMOWSKI3 | 1006 GOODLANDER DRIVE SELAH, WA 98942 | AFLAC | $242 | $0 | $242 | 1.97% |
| GAYLE ANN MANI DUNBAR3 Filed as: GAYLE ANN MANDI DUNBAR | 621 SOUTH 30TH AVENUE YAKIMA, WA 98902 | AFLAC | $142 | $26 | $168 | 1.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 3018 BOTHELL, WA 98041 | VISION SERVICE PLAN | $763 | $0 | $763 | 7.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NE 195TH STREET BOTHELL, WA 98011 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $369 | $0 | $369 | 7.17% |
| ESSENTIAL OIL JOY3 | 2909 SOUTH HARPER VALLEY WAY RIDGEFIELD, WA 98642 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $104 | $0 | $104 | 2.02% |
| VALORIE L STRICKLAND3 Filed as: VALORIE L. STRICKLAND | 1437 CIMARRON PLACE RICHLAND, WA 99352 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $58 | $0 | $58 | 1.13% |
| LAURIE C BERRY3 Filed as: LAURIE C.BERRY AND OTHER AGENTS | 19308 CROWN RIDGE BOULEVARD ARLINGTON, WA 98223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $42 | $0 | $42 | 0.82% |
| BENEFITS BY DESIGN INC3 | 2101 NE 279TH STREET RIDGEFIELD, WA 98642 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 0.23% |
| LUANN E DAVIS3 Filed as: LUANN E. DAVIS | 325 NORTH GRANT STREET KENNEWICK, WA 99336 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10 | $0 | $10 | 0.19% |
| CHRISTINE LYNN MORGESTER3 | 14913 SOUTH SUNTERRA LOOP OREGON CITY, OR 97045 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.17% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | UNKNOWN YAKIMA, WA 98901 | FIRST CHOICE HEALTH | $150 | $0 | $150 | 4.17% |
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 | 132 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AFLAC | 8 | $12K |
| Vision | VISION SERVICE PLAN | 92 | $10K |
| Life insurance(2 contracts, 2 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 134 | $35K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 8 | $17K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 134 | $30K |
| Other(4 contracts, 4 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 150 | $51K |
| 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.