| 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 | $548K | — | $548K | 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 | $123K | $4K | $127K | 3.28% |
| 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 | $99K | — | $99K | 4.99% |
| 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 | $29K | — | $29K | 3.87% |
| 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 | $55K | $11K | $65K | 11.87% |
| 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 | $50K | $9K | $60K | 11.88% |
| 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 DBA DELTA DENTAL PLAN OF OREGON | $12K | — | $12K | 2.67% |
| 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 | $12K | — | $12K | 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 | $11K | — | $11K | 4.19% |
| 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 | $8K | — | $8K | 3.43% |
| 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. | $17K | — | $17K | 10.00% |
| 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 | $8K | $1K | $9K | 11.69% |
| 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 | 2.58% |
| 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 | $2K | $773 | $3K | 13.52% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 1501 4TH AVE STE 2400 SEATTLE, WA 98101 | HYATT LEGAL PLANS | — | $18 | $18 | 0.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $165K |
| BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 13 | — | $63K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $18K |
| NORTHWEST CREDIT UNION ASSOCIATION EIN 91-0460483 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $10K |
| WELLS FARGO EIN 94-1347393 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $10K |
| COMMUNITY BANKERS OF WASHINGTON EIN 91-1470641 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $9K |
| WASHINGTON BANKERS ASSOCIATION EIN 91-0459700 ASSN OF CONTRIB EMPL | Direct payment from the plan; Other services Service code 49 | — | $8K |
| OREGON BANKERS ASSOCIATION EIN 93-0241680 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $8K |
| OAKSTONE PUBLISHING INC EIN 22-3495564 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $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 | 3,024 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,024 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | PREMERA BLUE CROSS | 2,557 | $24.0M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 3,844 | $2.6M |
| Vision | VISION SERVICE PLAN | 3,002 | $306K |
| Life insurance | STANDARD INSURANCE COMPANY | 2,733 | $548K |
| Short-term disability | STANDARD INSURANCE COMPANY | 272 | $78K |
| Long-term disability | STANDARD INSURANCE COMPANY | 1,974 | $504K |
| Prescription drug(5 contracts, 3 carriers) | PREMERA BLUE CROSS | 2,557 | $24.0M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 3,024 | $645K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,844 | — |
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.