| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 401 UNION ST STE 3000 SEATTLE, WA 98101 | SYMETRA LIFE INSURANCE COMPANY | $0 | $14K | $14K | 5.96% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 401 UNION ST STE 3000 SEATTLE, WA 98101 | SYMETRA LIFE INSURANCE COMPANY | — | $14K | $14K | 8.66% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 401 UNION ST STE 3000 SEATTLE, WA 98101 | SYMETRA LIFE INSURANCE COMPANY | $0 | $9K | $9K | 8.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $2.9M |
| TIMBER PRODUCTS MANUFACTURERS EIN 91-0820598 PLAN SPONSOR | Direct payment from the plan; Plan Administrator Service code 14 | — | $983K |
| ALLIANT INSURANCE SERVICES, INC. EIN 33-0785439 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan; Consulting (general) Service code 16 | — | $895K |
| BLUE CROSS BLUE SHIELD OF MONTANA NONE | Direct payment from the plan; Claims processing Service code 12 | PO BOX 7982 HELENA, MT 59604 | $488K |
| CORKERY & JONES EIN 91-1269034 NONE | Direct payment from the plan; Insurance agents and brokers; Consulting (general); Insurance brokerage commissions and fees Service code 16 | — | $323K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $256K |
| HUB INTERNATIONAL NORTHWEST, LLC EIN 91-2036015 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $244K |
| GROUP BENEFITS, LLC EIN 26-2229784 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $242K |
| A.W. REHN & ASSOCIATES, INC. EIN 91-1008626 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $197K |
| THE MURRAY GROUP EIN 20-0936230 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $193K |
| CIGNA HEALTHCARE NONE | Direct payment from the plan; Claims processing Service code 12 | 920 FIFTH AVE SUITE 1350 SEATTLE, WA 98104 | $132K |
| GALLAGHER BENEFIT SERVICES, INC. EIN 36-4291971 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $127K |
| ROCKY MOUNTAIN INSURANCE GROUP, INC EIN 20-5531412 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $90K |
| TURNER CONSULTING AND ACTUARIAL EIN 26-2178231 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $83K |
| CLIFTONLARSONALLEN LLP EIN 91-0614823 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $76K |
| WASHINGTON TRUST BANK NONE | Investment management; Investment management fees paid directly by plan Service code 28 | PO BOX 2127 SPOKANE, WA 99210 | $66K |
| HUB INTERNATIONAL MOUNTAIN STATES EIN 83-0185720 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $54K |
| FOURNIER INUSRANCE SOLUTIONS NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | 5712 S ORCHARD ST UNIVERSITY PLACE, WA 98467 | $47K |
| PAYNEWEST INSURANCE, INC. EIN 81-0479558 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $47K |
| MONTGOMERY & GRAHAM, INC. EIN 91-1819536 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $39K |
| LEAVITT WEST NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 724 2ND ST E KALISPELL, MT 59901 | $38K |
| KPD INSURANCE, INC. EIN 93-0843355 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $32K |
| VISION SERVICE PLAN EIN 91-6056925 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $29K |
| LARSEN LAW EIN 27-3524884 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| SHANDRO GROUP NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | 3380 W AMERICANA TERRACE SUITE 330 BOISE, ID 83706 | $16K |
| BIGGS INSURANCE NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | 105 W. EVERGREEN BLVD SUITE 200 VANCOUVER, WA 98660 | $11K |
| DIGITAL BENEFITS ADVISORS EIN 58-2522668 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $10K |
| H & H INSURANCE NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 2817 REGAL RD SUITE 108 PLANO, TX 75075 | $7K |
| TOWN & COUNTRY INSURANCE EIN 45-5360235 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $5K |
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 | 7,136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 87 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,223 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts) | SYMETRA LIFE INSURANCE COMPANY | 7,335 | $485K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 7,335 | $228K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,080 | $97K |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 6,690 | $2.6M |
| Other(3 contracts) | SYMETRA LIFE INSURANCE COMPANY | 7,335 | $485K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,335 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.