| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNITED INSURANCE BROKERS INC3 | 127 BELLEVUE WAY SE SUITE 108 BELLEVUE, WA 98004 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $13K | $0 | $13K | 1.65% |
| UNITED INSURANCE BROKERS INC3 | 127 BELLEVUE WAY SE SUITE 108 BELLEVUE, WA 98004 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $4K | $0 | $4K | 1.78% |
| UNITED INSURANCE BROKERS INC3 | 3150 RICHARDS ROAD SUITE 170 BELLEVUE, WA 98005 | GUARDIAN | $14K | $0 | $14K | 7.31% |
| BARBARA M DICKSON3 Filed as: BARBARA DICKSON | 8040 161ST AVENUE NE 411 REDMON, WA 98052 | AFLAC | $747 | $0 | $747 | 3.73% |
| UNITED INSURANCE BROKERS INC3 | 50 116TH AVENUE SE SUITE 201 BELLEVUE, WA 98004 | AFLAC | $478 | $0 | $478 | 2.39% |
| NORTHWEST BENEFIT ADVISORS, INC.3 | 8151 164TH AVENUE NE 411 REDMON, WA 98052 | AFLAC | $160 | $0 | $160 | 0.80% |
| DEBORAH R. WALLACE3 Filed as: DEBORAH WALLACE | 3320 GRAVELLY BEACH LOOP NW OLYMPIA, WA 98502 | AFLAC | $147 | $0 | $147 | 0.73% |
| SANDRA M LOHNES3 Filed as: SANDRA LOHNES | P. O. BOX 678 EASTON, WA 98925 | AFLAC | $123 | $0 | $123 | 0.61% |
| BRAD FISHER3 | 819 W PRAIRIE STREET SULLIVAN, IL 61951 | AFLAC | $96 | $0 | $96 | 0.48% |
| DAVID J MCCLELLAN3 Filed as: DAVID HANNANT | 14830 NE 167TH STREET WOODINVILLE, WA 98072 | AFLAC | $88 | $0 | $88 | 0.44% |
| ELIZABETH D PEARSON3 Filed as: ELIZABETH PEARSON | 4609 103RD LANE NE KIRKLAND, WA 98033 | AFLAC | $87 | $0 | $87 | 0.43% |
| AMANDA M GRIFFITH3 Filed as: AMANDA GRIFFITH | 11400 SE 8TH STREET #875 BELLEVUE, WA 98004 | AFLAC | $79 | $0 | $79 | 0.39% |
| JACOB J MCINTOSH3 Filed as: JACOB MCINTOSH | 665 S WOODRUFF AVENUE SUITE 250 IDAHO FALLS, OR 83401 | AFLAC | $47 | $0 | $47 | 0.23% |
| MARY L. JOCHUM3 Filed as: MARY JOCHUM | 3626 ROCKEFELLER AVENUE EVERETT, WA 98201 | AFLAC | $26 | $0 | $26 | 0.13% |
| SHERRIE JANE NELSON3 Filed as: SHERRIE NELSON | N STAGECOACH DRIVE POST FALLS, ID 83854 | AFLAC | $21 | $0 | $21 | 0.10% |
| CAROL ANNE BROGAN KEETON3 Filed as: CAROL ANNE KEETON | 485 NICOLE DRIVE BLACKFOOT, ID 83221 | AFLAC | $19 | $0 | $19 | 0.09% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON DRIVE BOCA RATON, FL 33433 | AFLAC | $10 | $0 | $10 | 0.05% |
| MICHAEL C WALKER3 Filed as: MICHAEL STACHOWIAK | 321 N CLARK STREET SUITE 615 CHICAGO, IL 60654 | AFLAC | $10 | $0 | $10 | 0.05% |
| CRAIG WAYNE SOTTILE3 Filed as: CRAIG HANSEN | 6848 RIVERDALE DRIVE SE TUMWATER, WA 98501 | AFLAC | $9 | $0 | $9 | 0.04% |
| HEATHER TOMSON3 | 63607 NE 9TH STREET RENTON, WA 98056 | AFLAC | $7 | $0 | $7 | 0.03% |
| G SCOTT COOKE3 Filed as: SCOTT BLACKSHEAR | 108 ALSACE COURT PONTE VEDRA BEACH, FL 32082 | AFLAC | $5 | $0 | $5 | 0.02% |
| DARAN L WYCKOFF3 Filed as: DARAN WYCKOFF | P. O. BOX 31233 SPOKANE, WA 99223 | AFLAC | $3 | $0 | $3 | 0.01% |
| CLIFF HARRISON BARROWS3 Filed as: CLIFF BARROWS | 5716 S FERRALL STREET SPOKANE, WA 99223 | AFLAC | $2 | $0 | $2 | 0.01% |
| KRISTINE G WYCKOFF3 Filed as: KRISTINE WYCKOFF | P. O. BOX 31233 SPOKANE, WA 99223 | AFLAC | $1 | $0 | $1 | 0.00% |
| KRISTEN SUE PLAISANCE3 Filed as: KRISTEN PLAISANCE | 11315 E 12TH AVENUE SPOKANE VALLEY, WA 99206 | AFLAC | $1 | $0 | $1 | 0.00% |
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 | 103 | 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) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 108 | $1.0M |
| Dental | GUARDIAN | 106 | $192K |
| Vision | GUARDIAN | 106 | $192K |
| Life insurance | GUARDIAN | 106 | $192K |
| Short-term disability | GUARDIAN | 106 | $192K |
| Long-term disability | GUARDIAN | 106 | $192K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 106 | $212K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.