| 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. | $15K | $0 | $15K | 1.78% |
| UNITED INSURANCE BROKERS INC3 | 127 BELLEVUE WAY SE SUITE 108 BELLEVUE, WA 98004 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $5K | $0 | $5K | 1.81% |
| UNITED INSURANCE BROKERS INC3 Filed as: UNITED INSURANCE BROKERS | 3150 RICHARDS ROAD BELLEVUE, WA 98005 | GUARDIAN | $10K | $0 | $10K | 6.42% |
| BARBARA M DICKSON3 | 8151 164TH AVENUE NE #411 REDMOND, WA 98052 | AFLAC | $454 | $0 | $454 | 2.80% |
| UNITED INSURANCE BROKERS INC3 | 50 116TH AVENUE SE SUITE 201 BELLEVUE, WA 98004 | AFLAC | $388 | $0 | $388 | 2.39% |
| BARBARA M DICKSON3 | 8040 161ST AVENUE NE #411 REDMOND, WA 98052 | AFLAC | $160 | $0 | $160 | 0.99% |
| NORTHWEST BENEFIT ADVISORS, INC.3 Filed as: NORTHWEST BENEFIT ADVISORS, INC | 8151 164TH AVENUE NE #411 REDMOND, WA 98052 | AFLAC | $127 | $0 | $127 | 0.78% |
| SANDRA M LOHNES3 | P. O. BOX 678 EASTON, WA 98925 | AFLAC | $116 | $0 | $116 | 0.72% |
| DEBORAH R. WALLACE3 Filed as: DEBORAH R WALLACE | 3320 GRAVELLY BEACH LOOP NW OLYMPIA, WA 98502 | AFLAC | $92 | $0 | $92 | 0.57% |
| ELIZABETH D PEARSON3 | 4609 103RD LANE NE KIRKLAND, WA 98033 | AFLAC | $78 | $0 | $78 | 0.48% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH STREET WOODINVILLE, WA 98072 | AFLAC | $78 | $0 | $78 | 0.48% |
| BRAD FISHER3 | 819 W PRAIRIE STREET SULLIVAN, IL 61951 | AFLAC | $76 | $0 | $76 | 0.47% |
| AMANDA M GRIFFITH3 Filed as: AMANDA M GRIFFIN | 11400 SE 8TH STREET #875 BELLEVUE, WA 98004 | AFLAC | $61 | $0 | $61 | 0.38% |
| MARY L. JOCHUM3 Filed as: MARY L JOCHUM | 3626 ROCKEFELLER AVENUE EVERETT, WA 98201 | AFLAC | $26 | $0 | $26 | 0.16% |
| JACOB J MCINTOSH3 | 665 S WOODRUFF AVENUE SUITE 250 IDAHO FALLS, OR 83401 | AFLAC | $25 | $0 | $25 | 0.15% |
| SHERRIE JANE NELSON3 Filed as: SHERRIE JANE KROMOFF | 2413 N STAGECOACH DRIVE POST FALLS, ID 83854 | AFLAC | $21 | $0 | $21 | 0.13% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET SUITE 615 CHICAGO, IL 60654 | AFLAC | $8 | $0 | $8 | 0.05% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DRIVE BOCA RATON, FL 33433 | AFLAC | $8 | $0 | $8 | 0.05% |
| CRAIG A HANSEN3 | 6848 RIVERDALE DRIVE SE TUMWATER, WA 98501 | AFLAC | $5 | $0 | $5 | 0.03% |
| SCOTT W BLACKSHEAR3 | 108 ALSACE COURT POINTE VEDRA BEACH, FL 32082 | AFLAC | $4 | $0 | $4 | 0.02% |
| CAROL ANNE BROGAN KEETON3 | 485 NICOLE DRIVE BLACKFOOT, ID 83221 | AFLAC | $4 | $0 | $4 | 0.02% |
| HEATHER L TOMSON3 | 63607 NE 9TH STREET RENTON, WA 98056 | AFLAC | $4 | $0 | $4 | 0.02% |
| DARAN L WYCOFF3 | P. O. BOX 31233 SPOKANE, WA 99233 | AFLAC | $3 | $0 | $3 | 0.02% |
| CLIFF HARRISON BARROWS3 | 5716 S FERRALL STREET SPOKANE, WA 99223 | AFLAC | $2 | $0 | $2 | 0.01% |
| KRISTEN SUE PLAISANCE3 | 11315 E 12TH AVENUE SPOKANE VALLEY, WA 99206 | AFLAC | $1 | $0 | $1 | 0.01% |
| KRISTINE G WYCKOFF3 Filed as: KRISTINE G WYKOFF | — | AFLAC | $1 | $0 | $1 | 0.01% |
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 | 129 | 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) | 129 | 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. | 85 | $1.1M |
| Dental | GUARDIAN | 121 | $161K |
| Vision | GUARDIAN | 121 | $161K |
| Life insurance | GUARDIAN | 121 | $161K |
| Short-term disability | GUARDIAN | 121 | $161K |
| Long-term disability | GUARDIAN | 121 | $161K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 121 | $177K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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.