| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STONEBRAKER MCQUARY AGENCY GROUP IN3 Filed as: STONEBRAKER MC QUARY AGENCY GROUP I | — | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $45K | $189 | $45K | 3.16% |
| STONEBRAKER MCQUARY AGENCY GROUP IN3 | 616 5TH STREET CLARKSTON, WA 99403 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 9.04% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS INC | PO BOX 34315 M/S 320 SEATTLE, WA 98124 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 5.00% |
| UCENTRIS INSURED SOLUTIONS INC3 | 7001 220TH STREET SOUTHWEST MOUNTLAKE, WA 98043 | METROPOLITAN LIFE INSURANCE COMPANY | — | $14 | $14 | 0.02% |
| STONEBRAKER MCQUARY AGENCY GROUP IN3 | — | DELTA DENTAL OF WASHINGTON | $2K | — | $2K | 2.40% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 137 | $1.4M |
| Dental | DELTA DENTAL OF WASHINGTON | 137 | $76K |
| Vision | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 137 | $1.4M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 465 | $84K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 465 | $84K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 465 | $84K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 465 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 465 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.