| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | 600 SW 39TH ST SUITE 200 RENTON, WA 98057 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $23K | — | $23K | 3.43% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | 600 SW 39TH ST STE 200 RENTON, WA 98057 | DELTA DENTAL OF WASHINGTON | $3K | — | $3K | 4.98% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL-ANDERSON AGENCY | 600 SW 39TH ST STE 200 RENTON, WA 98057 | VISION SERVICE PLAN | $853 | — | $853 | 6.69% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | ATTN KATHY WATSON 600 39TH ST SW, STE 200 RENTON, WA 98057 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 13.91% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | 600 SW 39TH ST SUITE 200 RENTON, WA 98057 | FIRST CHOICE | $217 | — | $217 | 6.11% |
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 | 110 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 101 | $679K |
| Dental | DELTA DENTAL OF WASHINGTON | 100 | $62K |
| Vision | VISION SERVICE PLAN | 64 | $13K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 119 | $11K |
| Other | FIRST CHOICE | 159 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 159 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.