| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA - TACOMA | 2106 PACIFIC AVE, STE 501 TACOMA, WA 98402 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $0 | $3K | $3K | 0.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA DBA DIMARTINO | — | REGENCE BLUECROSS BLUESHIELD OF OREGON | $0 | $190 | $190 | 0.01% |
| BOB HART INSURANCE INC3 Filed as: BOB HART INSURANCES INC | — | REGENCE BLUECROSS BLUESHIELD OF OREGON | $0 | $190 | $190 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 800 5TH AVE, STE 2400 SEATTLE, WA 98104 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $5 | $0 | $5 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA DBA DIMARTINO | PO BOX 743044 LOS ANGELES, CA 900743044 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $99 | $3K | 4.74% |
| VIMLY BENEFIT SOLUTIONS INC5 | 12121 HARBOUR REACH DR, STE 105 MUKILTEO, WA 982755314 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 4.57% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2160 PACIFIC AVE, STE 501 TACOMA, WA 984023011 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $99 | $99 | 0.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICE INC | 2106 PACIFIC AVE, STE 501 TACOMA, WA 984023007 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $99 | $99 | 0.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA DBA DIMARTINO | PO BOX 743044 LOS ANGELES, CA 900743044 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $99 | $2K | 5.60% |
| VIMLY BENEFIT SOLUTIONS INC5 | 12121 HARBOUR REACH DRIVE, STE 105 MUKILTEO, WA 982755314 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.31% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVE, STE 501 TACOMA, WA 984023011 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $99 | $99 | 0.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICE INC | 2106 PACIFIC AVE, STE 501 TACOMA, WA 984023007 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $99 | $99 | 0.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA DBA DIMARTINO | PO BOX 743044 LOS ANGELES, CA 900743044 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $99 | $2K | 5.06% |
| VIMLY BENEFIT SOLUTIONS INC5 | 12121 HARBOUR REACH DRIVE, STE 105 MUKILTEO, WA 982755314 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 4.73% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVE, STE 501 TACOMA, WA 984023011 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $99 | $99 | 0.33% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICE INC | 2106 PACIFIC AVE, STE 501 TACOMA, WA 984023007 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $99 | $99 | 0.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DIMARTINO ASSOCIATES EIN 59-0691921 NONE | Consulting (general); Direct payment from the plan; Insurance services; Insurance agents and brokers Service code 16 | — | $1.8M |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $338K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $25K |
| NORTHWEST CREDIT UNION ASSOCIATION EIN 91-0460483 ASSN OF CONTRIB EMPL | Direct payment from the plan; Other services Service code 49 | — | $10K |
| TURNER, STOEVE & GAGLIARDI, P.S. EIN 91-1282506 NONE | Legal; Direct payment from the plan Service code 29 | — | $5K |
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 | 4,062 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,079 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(10 contracts, 4 carriers) | PREMERA BLUE CROSS | 21,759 | $18.6M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 2,453 | $1.6M |
| Vision | VISION SERVICE PLAN | 1,994 | $193K |
| Life insurance | STANDARD INSURANCE COMPANY | 1,976 | $404K |
| Short-term disability | STANDARD INSURANCE COMPANY | 236 | $31K |
| Long-term disability | STANDARD INSURANCE COMPANY | 1,403 | $334K |
| Prescription drug(7 contracts, 3 carriers) | PREMERA BLUE CROSS | 21,759 | $18.5M |
| Other | FIRST CHOICE HEALTH | 2,154 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,759 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.