No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS, INC. EIN 52-1590516 NONE | Claims processing; Plan Administrator; Other services; Direct payment from the plan Service code 12 | — | $1.2M |
| KAISER FOUNDATION HEALTH PLAN OF WA EIN 91-1467158 NONE | Plan Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $532K |
| AETNA EIN 06-6033492 NONE | Claims processing; Accounting (including auditing); Direct payment from the plan; Insurance services; Product termination fees (surrender charges, etc.) Service code 10 | — | $532K |
| ZELIS CLAIMS INTEGRITY, INC. EIN 86-1040704 NONE | Other fees; Direct payment from the plan Service code 50 | — | $233K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Insurance services; Claims processing; Direct payment from the plan Service code 12 | — | $132K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Actuarial; Insurance agents and brokers; Consulting (general) Service code 11 | — | $75K |
| FIRST CHOICE HEALTH EIN 91-1272766 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $69K |
| WASHINGTON CAPITAL MANAGEMENT, INC. EIN 91-1042342 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $53K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $46K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Direct payment from the plan; Other fees; Float revenue; Custodial (securities) Service code 19 | — | $27K |
| SERVICE PRINTING CO., INC. EIN 91-0830372 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $18K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $16K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance services; Insurance brokerage commissions and fees Service code 23 | — | $16K |
| HEALTH CARE COST MGMT CORP OF AK EIN 92-0116216 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| ADVANTRIA, LLC EIN 26-0320808 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $9K |
| MDLIVE NONE | Other services; Direct payment from the plan Service code 49 | 13630 NW 8TH STREET SUITE 205 SUNRISE, FL 33325 | $6K |
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 | 2,368 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 587 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,955 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 40 | $197K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 2,735 | $52K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 2,478 | $1.2M |
| Other | SYMETRA LIFE INSURANCE COMPANY | 2,735 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,735 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.