| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | PROVIDENCE HEALTH PLANS | $56K | $0 | $56K | 3.00% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $5K | $0 | $5K | 3.63% |
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMIN AND INS. SVCS. INC. | 1800 SUTTER STREET, SUITE 730 CONCORD, CA 94520 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $2K | $0 | $2K | 1.37% |
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMIN AND INS. SVCS. INC. | 1800 SUTTER STREET, SUITE 730 CONCORD, CA 94520 | HARTFORD LIFE AND ACCIDENT | $7K | $0 | $7K | 7.56% |
| LOCKTON COMPANIES, LLC3 | 600 UNIVERSITY STREET, SUITE 1900 SEATTLE, WA 98101 | HARTFORD LIFE AND ACCIDENT | $2K | $0 | $2K | 2.43% |
| LOCKTON COMPANIES, LLC3 | 600 UNIVERSITY STREET, SUITE 1900 SEATTLE, WA 98101 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.88% |
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMIN AND INS. SVCS. INC. | 1800 SUTTER STREET, SUITE 730 CONCORD, MO 94520 | METROPOLITAN LIFE INSURANCE COMPANY | $714 | $936 | $2K | 2.89% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $550 | $550 | 0.96% |
| LOCKTON COMPANIES, LLC3 | PO BOX 650823 DALLAS, TX 75265 | VISION SERVICE PLAN | $899 | $0 | $899 | 4.76% |
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMIN AND INS. SVCS. INC. | 1800 SUTTER STREET, SUITE 730 CONCORD, CA 94520 | VISION SERVICE PLAN | $526 | $0 | $526 | 2.78% |
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 | 288 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 292 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLANS | 278 | $1.9M |
| Dental(2 contracts, 2 carriers) | WILLAMETTE DENTAL OF WASHINGTON, INC. | 258 | $198K |
| Vision | VISION SERVICE PLAN | 200 | $19K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 276 | $97K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 276 | $97K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 276 | $97K |
| Prescription drug | PROVIDENCE HEALTH PLANS | 278 | $1.9M |
| Other | HARTFORD LIFE AND ACCIDENT | 276 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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.