| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROPEL INSURANCE3 | 1201 PACIFIC AVENUE, SUITE 1100 TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $48K | $0 | $48K | 3.73% |
| PROPEL INSURANCE3 | 925 4TH AVENUE, SUITE 3200 SEATTLE, WA 98104 | DELTA DENTAL OF WASHINGTON | $7K | $0 | $7K | 5.00% |
| PROPEL INSURANCE3 | PO BOX 2940 TACOMA, WA 98401 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | $0 | $11K | 17.28% |
| BRATRUD MIDDLETON INS BROKERS INC3 Filed as: BRATRUD MIDDLETON INS. BROKERS INC. | 1201 PACIFIC AVENUE, SUITE 1000 TACOMA, WA 98402 | VISION SERVICE PLAN | $691 | $0 | $691 | 4.55% |
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 | 135 | 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) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 205 | $1.3M |
| Dental | DELTA DENTAL OF WASHINGTON | 222 | $149K |
| Vision | VISION SERVICE PLAN | 122 | $15K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 135 | $64K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 135 | $64K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 205 | $1.3M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 135 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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."
No prospect flags tripped on this filing.