| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INSURAN | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $20K | — | $20K | 4.01% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INSURAN | 19401 40TH AVE W STE 440 LYNNWOOD, WA 98036 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $11K | — | $11K | 4.30% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY | GHB INSRANCE STE 410 676B WOODLAND SQUIRE LOOP SE LACEY, WA 98503 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.58% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY | ATTN GHB STE 410 676B WOODLAND SQUIRE LOOP SE LACY, WA 98507 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 14.04% |
| THE WRIGHT BENEFITS LLC3 | 4923 LAKERIDGE DR E LAKE TAPPS, WA 98391 | AFLAC INSURANCE COMPANY | $3K | $39 | $3K | 21.31% |
| JAMEY MILLER INC3 | 12942 193RD AVE E BONNEY LAKE, WA 98391 | AFLAC INSURANCE COMPANY | $406 | $11 | $417 | 2.93% |
| KIMBERLY FERGUSON3 Filed as: KIMBERLY MOGER | 25 SAGELAND EAST WENATCHEE, WA 98802 | AFLAC INSURANCE COMPANY | $354 | — | $354 | 2.49% |
| DWAYNE V FRENCH3 | 17714 NE 102ND CT REDMOND, WA 98052 | AFLAC INSURANCE COMPANY | $199 | — | $199 | 1.40% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PRT INS SVCS LLC | 19401 40TH AVE W STE 440 LYNWOOD, WA 98036 | AFLAC INSURANCE COMPANY | $118 | — | $118 | 0.83% |
| BRUNN & COMPANY INC.3 Filed as: BRUNN & COMPANY INC | 19225 NE 202ND ST WOODINVILLE, WA 98077 | AFLAC INSURANCE COMPANY | $101 | $2 | $103 | 0.72% |
| DAVID VON GEHR3 | 6512 18TH AVE NW SEATTLE, WA 98117 | AFLAC INSURANCE COMPANY | $62 | — | $62 | 0.44% |
| MICHAEL BRUNN3 Filed as: MICHAEL E BRUNN | 19225 NE 202ND ST WOODINVILLE, WA 98077 | AFLAC INSURANCE COMPANY | $47 | — | $47 | 0.33% |
| DWAYNE V FRENCH3 | 1535 29TH AVE SE PUYALLUP, WA 98374 | AFLAC INSURANCE COMPANY | $43 | — | $43 | 0.30% |
| JACOB J MCINTOSH3 | 139 N 3706 E STE 250 RIGBY, ID 83442 | AFLAC INSURANCE COMPANY | $24 | — | $24 | 0.17% |
| JAMEY MILLER INC3 Filed as: JAMEY J MILLER | 12942 193RD AVE E BONNEY LAKE, WA 98391 | AFLAC INSURANCE COMPANY | $23 | — | $23 | 0.16% |
| CHARLES HUGH MACKAY3 | 2383 S MAIN ST STE B100 AKRON, OH 44319 | AFLAC INSURANCE COMPANY | $17 | — | $17 | 0.12% |
| CHARLES H WEISSBERGER3 | 54110 MICHELE LN SHELBY TOWNSHIP, MI 48315 | AFLAC INSURANCE COMPANY | $9 | — | $9 | 0.06% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH ST WOODINVILLE, WA 98072 | AFLAC INSURANCE COMPANY | $4 | — | $4 | 0.03% |
| CRAIG A HANSEN3 | PO BOX 78 HALL, NY 14463 | AFLAC INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| JOSHUA PAUL GROUP INC3 Filed as: JOSHUA M HELDEROP | 22109 VILLA DR SNOHOMISH, WA 98296 | AFLAC INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| BELL-ANDERSON AGENCY INC3 Filed as: BELL ANDERSON AGENCY | ATTN GHB 676B WOODLAND SQUIRE LOOP SE LACY, WA 98501 | STANDARD INSURANCE COMPANY | — | — | $0 | — |
| GHB INC3 | PO BOX 1608 OLYMPIA, WA 98507 | BENEFIT INTELLIGENCE | $125 | — | $125 | — |
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 | 156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 69 | $764K |
| Dental(2 contracts) | STANDARD INSURANCE COMPANY | 111 | $75K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 132 | $7K |
| Life insurance | STANDARD INSURANCE COMPANY | 126 | $18K |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 168 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 168 | — |
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.