| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $198 | $198 | 0.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 701 5TH AVENUE, SUITE 550 SEATTLE, WA 98104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.35% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | VISION SERVICE PLAN | $1K | $0 | $1K | 8.16% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 800 FIFTH AVENUE, SUITE 2400 SEATTLE, WA 98104 | HARTFORD LIFE AND ACCIDENT | $1K | $360 | $1K | 20.01% |
| REBECCA J. COTTER3 | 13526 160TH AVENUE NE REDMOND, WA 98052 | AFLAC | $157 | $0 | $157 | 3.49% |
| STOOKSBERRY INSURANCE AGENCY LLC3 | 7007 PARK HILL TRAIL SACHSE, TX 75048 | AFLAC | $97 | $0 | $97 | 2.15% |
| COTTER CONS & BENF AND OTHER AGENTS3 | 13526 160TH AVENUE NE REDMOND, WA 98402 | AFLAC | $72 | $0 | $72 | 1.60% |
| T ALLEN HOWDESHELL3 Filed as: ALLEN V. HUNDLEY | 8796 FOREST CREEK LANE ANNA, TX 75409 | AFLAC | $52 | $0 | $52 | 1.15% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM C. COVINGTON | 1750 WINDY HILL LANE PROSPER, TX 75078 | AFLAC | $25 | $0 | $25 | 0.56% |
| JAMEY MILLER INC3 Filed as: JAMEY J. MILLER | 12942 193RD AVENUE EAST BONNEY LAKE, WA 98391 | AFLAC | $25 | $0 | $25 | 0.56% |
| WILLIS TOWERS WATSON US LLC3 Filed as: CHARNETTE L. WILLIS | 740 PLUMMER ROAD NW, APARTMENT 140 HUNTSVILLE, AL 35806 | AFLAC | $24 | $0 | $24 | 0.53% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 1.09% |
| JOEL N NEWMAN AGENCY LLC3 Filed as: JOEL N. NEWMAN AGENCY LLC | 924-B NW 52ND STREET SEATTLE, WA 98107 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5 | $0 | $5 | 0.45% |
| PAMELA WHITFIELD3 | 646 A AKOAKOA STREET KAILUA, HI 96734 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.36% |
| LAURABETH CHRISTENSEN3 | 19203 144TH ST EAST BONNEY LAKE, WA 98391 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.18% |
| CALEB ANTHONY LAW3 | 19807 2ND DRIVE SE BOTHELL, WA 98012 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.09% |
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 | 138 | 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) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 354 | $140K |
| Vision | VISION SERVICE PLAN | 126 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $63K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $63K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $63K |
| Other(5 contracts, 5 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 143 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 354 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.