| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA | PO BOX 986 POULSBO, WA 98370 | DELTA DENTAL OF WASHINGTON | $8K | — | $8K | 3.74% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC TAC | 2106 PACIFIC AVE STE 501 TACOMA, WA 98402 | DELTA DENTAL OF WASHINGTON | $3K | — | $3K | 1.26% |
| ANTIK LLC3 | 15 OREGON AVE #207 TACOMA, WA 98409 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14K | — | $14K | 21.87% |
| WEST RIDGE INSURANCE AGENCY, INC.3 Filed as: WEST HILLS INS AGENCY LLC | 950 WEST HILLS BLVD BREMERTON, WA 98312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7K | — | $7K | 11.21% |
| BELL ANDERSON AGCY INC3 | PO BOX 1608 OLYMPIA, WA 98507 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $17 | — | $17 | 0.03% |
| ANTIK LLC3 | 15 OREGON AVE #207 TACOMA, WA 98409 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 7.06% |
| WEST HILLS INS AGCY LLC3 | 950 WEST HILLS BLVD BREMERTON, WA 98312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 4.70% |
| ANTIK LLC3 | 15 OREGON AVE #207 TACOMA, WA 98409 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9K | — | $9K | 25.73% |
| WEST RIDGE INSURANCE AGENCY, INC.3 Filed as: WEST HILLS INS AGENCY LLC | 950 WEST HILLS BLVD BREMERTON, WA 98312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 13.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVE STE 501 TACOMA, WA 984023011 | AMERITAS LIFE INSURANCE CORP. | $3K | — | $3K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC | 3520 THOMASVILLE RD STE 500 TALLAHASSEE, FL 323093435 | AMERITAS LIFE INSURANCE CORP. | $0 | $210 | $210 | 0.60% |
| ANTIK LLC3 | 15 OREGON AVE #207 TACOMA, WA 98409 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 21.07% |
| WEST RIDGE INSURANCE AGENCY, INC.3 Filed as: WEST HILLS INS AGENCY LLC | 950 WEST HILLS BLVD BREMERTON, WA 98312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 10.76% |
| BELL ANDERSON AGCY INC3 | PO BOX 1608 OLYMPIA, WA 98507 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| ANTIK LLC3 | 15 OREGON AVE #207 TACOMA, WA 98409 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 20.21% |
| WEST RIDGE INSURANCE AGENCY, INC.3 Filed as: WEST HILLS INS AGENCY LLC | 950 WEST HILLS BLVD BREMERTON, WA 98312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 9.96% |
| BELL ANDERSON AGCY INC3 | PO BOX 1608 OLYMPIA, WA 98507 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.05% |
| ANTIK LLC3 | 15 OREGON AVE #207 TACOMA, WA 98409 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 30.11% |
| WEST RIDGE INSURANCE AGENCY, INC.3 Filed as: WEST HILLS INS AGENCY LLC | 950 WEST HILLS BLVD BREMERTON, WA 98312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 15.17% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY INC | PO BOX 1608 OLYMPIA, WA 98507 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.02% |
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 | 262 | 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) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 78 | $165K |
| Dental | DELTA DENTAL OF WASHINGTON | 548 | $211K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 833 | $35K |
| Life insurance(6 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 262 | $203K |
| Short-term disability | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 262 | $38K |
| Other(7 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 833 | $238K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 833 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.