| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES | 1420 5TH AVE., #1500 SEATTLE, WA 98101 | DELTA DENTAL OF WASHINGTON | $6K | $0 | $6K | 2.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST | PO BOX 3144 SPOKANE, WA 98220 | THE HARTFORD | $11K | $0 | $11K | 8.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | 970 RESERVE DR, #200 ROSEVILLE, CA 95678 | THE HARTFORD | $0 | $4K | $4K | 3.34% |
| JIMMIE J DELBRIDGE3 Filed as: JIMMIE DELBRIDGE | 1924 E FOXBOROUGH CT HAYDEN, ID 83835 | AFLAC | $10K | $158 | $10K | 16.47% |
| TERRY K ALLEN3 Filed as: TERRY ALLEN | 20930 E HAPPY TRAILS LANE OTIS ORCHARDS, WA 99027 | AFLAC | $920 | $11 | $931 | 1.58% |
| RODERICK ALLEN BAIR3 Filed as: RODERICK ALLEN BLAIR | 8827 N GOVERNMENT WAY, #105 HAYDEN, ID 83835 | AFLAC | $677 | $0 | $677 | 1.15% |
| TIMOTHY LYONS3 | 3315 S JEFFERSON DR SPOKANE, WA 99203 | AFLAC | $644 | $0 | $644 | 1.10% |
| JORDAN D EMMANS3 Filed as: JORDAN EMMANS | 438 W 26TH AVE SPOKANE, WA 99203 | AFLAC | $281 | $26 | $307 | 0.52% |
| LISA HALL3 | 686 W MOGUL LOOP, #102 HAYDEN, ID 83835 | AFLAC | $265 | $26 | $291 | 0.50% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS LESS THAN 100 DOLLAR | — | AFLAC | $284 | $0 | $284 | 0.48% |
| DARAN L WYCKOFF3 Filed as: DARAN WYCOFF | PO BOX 31233 SPOKANE, WA 99223 | AFLAC | $101 | $0 | $101 | 0.17% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS SERVICES | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $2K | $0 | $2K | 4.74% |
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 | 204 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF WASHINGTON | 214 | $244K |
| Vision | VISION SERVICE PLAN | 190 | $32K |
| Life insurance(2 contracts, 2 carriers) | THE HARTFORD | 223 | $193K |
| Short-term disability(2 contracts, 2 carriers) | THE HARTFORD | 223 | $193K |
| Long-term disability | THE HARTFORD | 223 | $135K |
| Other(2 contracts, 2 carriers) | THE HARTFORD | 223 | $193K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.