| 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 AVENUE, SUITE 501 TACOMA, WA 98402 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $71K | — | $71K | 2.93% |
| 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 | $95K | — | $95K | 6.18% |
| 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 | $24K | — | $24K | 3.76% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 800 5TH AVE STE 2400 SEATTLE, WA 98104 | STANDARD INSURANCE COMPANY | $52K | — | $52K | 10.27% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NY, INC. | 595 STEWART AVE, SUITE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | — | $12K | $12K | 2.28% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 800 5TH AVE STE 2400 SEATTLE, WA 98104 | STANDARD INSURANCE COMPANY | $49K | — | $49K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NY, INC. | 595 STEWART AVE, SUITE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | — | $12K | $12K | 2.37% |
| 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 | $9K | — | $9K | 3.50% |
| 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 | $10K | — | $10K | 4.02% |
| 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 | $7K | — | $7K | 4.71% |
| 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 | 3.57% |
| 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. | $9K | — | $9K | 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 | $3K | — | $3K | 4.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVE, SUITE 501 TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $2K | — | $2K | 3.33% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVENUE SUITE 501 TACOMA, WA 98402 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $413 | $3K | 6.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | 800 5TH AVE STE 2400 SEATTLE, WA 98104 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF NY, INC. | 595 STEWART AVE, SUITE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 2.71% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | METLIFE LEGAL PLANS | $4K | $561 | $4K | 11.16% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVENUE, SUITE 501 TACOMA, WA 98402 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $391 | $5K | 15.73% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | 2106 PACIFIC AVENUE SUITE 501 TACOMA, WA 98402 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $329 | $4K | 17.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $186K |
| BROWN & BROWN OF WASHINGTON, INC. EIN 91-0378940 NONE | Direct payment from the plan; Other services; Insurance agents and brokers; Plan Administrator Service code 14 | — | $125K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $20K |
| NORTHWEST CREDIT UNION ASSOCIATION EIN 91-0460483 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $10K |
| MATCHUP LLC EIN 47-1289510 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| COMMUNITY BANKERS OF WASHINGTON EIN 91-1470641 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $8K |
| WASHINGTON BANKERS ASSOCIATION EIN 91-0459700 ASSN OF CONTRIB EMPL | Other services; Direct payment from the plan Service code 49 | — | $8K |
| DAVIS WRIGHT TREMAINE LLP EIN 91-0839480 NONE | Legal; Direct payment from the plan Service code 29 | — | $6K |
| OAKSTONE PUBLISHING EIN 22-3495564 NONE | 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 | 2,933 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,933 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 3 carriers) | PREMERA BLUE CROSS | 1,301 | $17.4M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 2,894 | $1.8M |
| Vision | VISION SERVICE PLAN | 2,330 | $240K |
| Life insurance | STANDARD INSURANCE COMPANY | 2,933 | $508K |
| Short-term disability | STANDARD INSURANCE COMPANY | 264 | $38K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,062 | $491K |
| Prescription drug(6 contracts, 3 carriers) | PREMERA BLUE CROSS | 1,301 | $17.4M |
| Other(6 contracts, 4 carriers) | STANDARD INSURANCE COMPANY | 2,933 | $705K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,933 | — |
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.