| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | PREMERA BLUE CROSS | $550K | — | $550K | 2.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON - TACOM | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $91K | $6K | $97K | 3.13% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | DELTA DENTAL OF WASHINGTON | $94K | — | $94K | 5.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | GROUP HEALTH COOPERATIVE | $26K | — | $26K | 3.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | STANDARD INSURANCE COMPANY | $53K | $6K | $60K | 11.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | STANDARD INSURANCE COMPANY | $47K | $6K | $53K | 11.18% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | OREGON DENTAL SERVICE | $13K | — | $13K | 2.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | GROUP HEALTH COOPERATIVE | $16K | — | $16K | 4.27% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | VISION SERVICE PLAN | $11K | — | $11K | 4.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | GROUP HEALTH COOPERATIVE | $7K | — | $7K | 3.56% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $15K | — | $15K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | FIRST CHOICE HEALTH | $2K | — | $2K | 2.57% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | STANDARD INSURANCE COMPANY | $7K | $494 | $7K | 10.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | HYATT LEGAL PLANS | $1K | $60 | $1K | 10.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 13 | — | $206K |
| NORTHWEST CREDIT UNION ASSOCIATION EIN 91-0460483 ASSN OF CONTRIB EMPL | Direct payment from the plan; Other services Service code 49 | — | $20K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| DAVIS WRIGHT TREMAINE EIN 91-0839480 NONE | Legal; Direct payment from the plan Service code 29 | — | $16K |
| OAKSTONE PUBLISHING INC EIN 22-3495564 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $13K |
| WELLS FARGO EIN 94-1347393 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $13K |
| OREGON BANKERS ASSOCIATION EIN 93-0241680 ASSN OF CONTRIB EMPL | Direct payment from the plan; Other services Service code 49 | — | $10K |
| COMMUNITY BANKERS OF WASHINGTON EIN 91-1470641 ASSN OF CONTRIB EMPL | Direct payment from the plan; Other services Service code 49 | — | $8K |
| WASHINGTON BANKERS ASSOCIATION EIN 91-0459700 ASSN OF CONTRIB EMPL | Direct payment from the plan; Other services Service code 49 | — | $6K |
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 | 3,343 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | PREMERA BLUE CROSS | 2,479 | $23.3M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 3,364 | $2.3M |
| Vision | VISION SERVICE PLAN | 2,542 | $273K |
| Life insurance | STANDARD INSURANCE COMPANY | 3,343 | $529K |
| Short-term disability | STANDARD INSURANCE COMPANY | 296 | $70K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,262 | $473K |
| Prescription drug(5 contracts, 3 carriers) | PREMERA BLUE CROSS | 2,479 | $23.3M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 3,343 | $623K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,364 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.