| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BELL-ANDERSON AGENCY INC3 | 600 SW 39TH ST STE 200 RENTON, WA 98057 | REGENCE BLUESHIELD | $37K | — | $37K | 3.69% |
| GHB INC3 Filed as: GHB INSURANCE | 556 LILLY RD SE STE A. OLYMPIA, WA 98501 | REGENCE BLUESHIELD | $13K | $3K | $16K | 1.56% |
| BELL-ANDERSON AGENCY INC3 | 600 SW 39TH ST STE 200 RENTON, WA 98057 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 5.00% |
| BELL-ANDERSON AGENCY INC3 | 556 LILLY RD SE STE A OLYMPIA, WA 98501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 1.51% |
| BELL-ANDERSON AGENCY INC3 | 600 SW 39TH ST STE 200 RENTON, WA 98057 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| BELL-ANDERSON AGENCY INC3 | 556 LILLY RD SE STE A OLYMPIA, WA 98501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $807 | $807 | 3.05% |
| BELL-ANDERSON AGENCY INC3 | 600 SW 39TH ST STE 200 RENTON, WA 98057 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| BELL-ANDERSON AGENCY INC3 | 556 LILLY RD SE STE A OLYMPIA, WA 98501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $687 | $687 | 3.04% |
| GHB INC3 Filed as: GHB INSURANCE | PO BOX 1608 OLYMPIA, WA 98507 | VISION SERVICE PLAN | $263 | — | $263 | 1.54% |
| BELL-ANDERSON AGENCY INC3 | 600 SW 39TH ST STE 200 RENTON, WA 98057 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| BELL-ANDERSON AGENCY INC3 | 556 LILLY RD SE STE A OLYMPIA, WA 98501 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $428 | $428 | 3.59% |
| GHB INC3 Filed as: GHB INSURANCE | 556 LILLY RD SE STE A. OLYMPIA, WA 98501 | TELADOC, INC | $1K | — | $1K | 10.52% |
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 | 173 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUESHIELD | 359 | $1.0M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 141 | $103K |
| Vision | VISION SERVICE PLAN | 146 | $17K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 172 | $23K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $26K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 63 | $12K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 359 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 359 | — |
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.