| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BTS INSURANCE LLC3 Filed as: BTS INSURANCE, LLC | 3411 96TH AVENUE SE MERCER ISLAND, WA 98040 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $16K | $0 | $16K | 1.92% |
| BTS INSURANCE LLC3 Filed as: BTS INSURANCE, LLC | 3411 96TH AVENUE SE MERCER ISLAND, WA 98040 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $7K | $0 | $7K | 1.81% |
| BTS INSURANCE LLC3 Filed as: BTS INSURANCE, LLC | 3411 96TH AVENUE SE MERCER ISLAND, WA 98040 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $14K | $0 | $14K | 7.13% |
| BARBARA M. DICKSON3 | 8151 164TH AVENUE NE, SUITE 411 REDMOND, WA 98052 | AFLAC | $367 | $0 | $367 | 2.99% |
| UNITED INSURANCE BROKERS INC3 Filed as: UNITED INSURANCE BROKERS, INC. | 50 116TH AVENUE SE, SUITE 201 BELLEVUE, WA 98004 | AFLAC | $301 | $0 | $301 | 2.46% |
| AMANDA M. GRIFFITH AND OTHER AGENTS3 | 11400 SE 8TH STREET, SUITE 875 BELLEVUE, WA 98004 | AFLAC | $300 | $0 | $300 | 2.45% |
| BARBARA M. DICKSON3 | 11811 NE 1ST STREET, SUITE 302 BELLEVUE, WA 98005 | AFLAC | $132 | $0 | $132 | 1.08% |
| NORTHWEST BENEFIT ADVISORS, INC.3 | 11811 NE 1ST STREET, SUITE 302 BELLEVUE, WA 98005 | AFLAC | $102 | $0 | $102 | 0.83% |
| DEBORAH R. WALLACE3 | 30 EAST ALLYNVIEW DRIVE ALLYN, WA 98524 | AFLAC | $90 | $0 | $90 | 0.73% |
| BRAD FISHER3 | 819 WEST PRAIRIE STREET SULLIVAN, IL 61951 | AFLAC | $64 | $0 | $64 | 0.52% |
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 | 128 | 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) | 128 | 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. | 70 | $1.3M |
| Dental(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $205K |
| Vision(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $205K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $193K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $193K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $193K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 70 | $1.3M |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 128 | $205K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.