| 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 | $592K | — | $592K | 2.91% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA - TACOMA | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $147K | $7K | $154K | 3.22% |
| 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 | $84K | — | $84K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $28K | — | $28K | 3.72% |
| 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 | $77K | — | $77K | 12.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NY, INC. | 333 EARLE OVINGTON BLVD, SUITE 215 UNIONDALE, NY 11553 | STANDARD INSURANCE COMPANY | — | $4K | $4K | 0.67% |
| 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 | — | $53K | 9.85% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NY, INC. | 333 EARLE OVINGTON BLVD, SUITE 215 UNIONDALE, NY 11553 | STANDARD INSURANCE COMPANY | — | $4K | $4K | 0.82% |
| 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 | $16K | — | $16K | 3.24% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $15K | — | $15K | 4.07% |
| 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 | 3.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $5K | — | $5K | 3.35% |
| 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. | $12K | — | $12K | 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 | $4K | — | $4K | 4.99% |
| 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 | — | $7K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NY, INC. | 333 EARLE OVINGTON BLVD, SUITE 215 UNIONDALE, NY 11553 | STANDARD INSURANCE COMPANY | — | $673 | $673 | 0.97% |
| 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 | — | $2K | 10.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 13 | — | $270K |
| BROWN & BROWN OF WASHINGTON, INC. EIN 91-0378940 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $126K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $21K |
| NORTHWEST CREDIT UNION ASSOCIATION EIN 91-0460483 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $10K |
| OREGON BANKERS ASSOCIATION EIN 93-0241680 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $9K |
| DAVIS WRIGHT TREMAINE LLP EIN 91-0839480 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| WASHINGTON BANKERS ASSOCIATION EIN 91-0459700 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $7K |
| COMMUNITY BANKERS OF WASHINGTON EIN 91-1470641 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $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 | 3,445 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,445 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | PREMERA BLUE CROSS | 2,462 | $26.4M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 2,997 | $2.3M |
| Vision | VISION SERVICE PLAN | 2,810 | $306K |
| Life insurance | STANDARD INSURANCE COMPANY | 3,799 | $641K |
| Short-term disability | STANDARD INSURANCE COMPANY | 348 | $69K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,623 | $535K |
| Prescription drug(5 contracts, 3 carriers) | PREMERA BLUE CROSS | 2,462 | $26.4M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 3,799 | $740K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,799 | — |
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.