| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIMARTINO ASSOCIATES3 | 1501 4TH AVE STE 2400 SEATTLE, WA 98101 | COMPANION LIFE COLUMBIA, SC | $18K | — | $18K | 4.00% |
| GAIL E MCGINN INSURANCE INC3 | 7021 NE 138TH PL KIRKLAND, WA 98034 | COMPANION LIFE COLUMBIA, SC | $18K | — | $18K | 4.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON-SEATTLE | 1501 4TH AVE SUITE 2400 SEATTLE, WA 98101 | LIFEMAP ASSURANCE COMPANY | $11K | — | $11K | 7.50% |
| GAIL E MCGINN INSURANCE INC3 | 7021 NE 138TH PL KIRKLAND, WA 98034 | LIFEMAP ASSURANCE COMPANY | $11K | — | $11K | 7.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE AND PENSION ADMIN SERVICE EIN 91-1363171 NONE | Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Plan Administrator; Claims processing Service code 10 | — | $475K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $111K |
| FIRST CHOICE HEALTH NETWORK, INC. EIN 91-1272766 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $84K |
| WASHINGTON CAPITAL MANAGEMENT, INC. EIN 91-1042342 NONE | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | — | $19K |
| BROWN & BROWN OF WASHINGTON-SEATTLE NONE | Direct payment from the plan; Consulting (general); Insurance agents and brokers Service code 16 | 1501 4TH AVE SUITE 2400 SEATTLE, WA 98101 | $17K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| GAIL E MCGINN INSURANCE, INC EIN 91-1652776 NONE | Consulting (general); Direct payment from the plan; Insurance agents and brokers Service code 16 | — | $17K |
| MILLIMAN INC EIN 94-1701048 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $14K |
| BANK OF AMERICA CORP EIN 94-1687665 NONE | Direct payment from the plan; Custodial (other than securities); Float revenue Service code 18 | — | $10K |
| EMDEON EIN 20-5591816 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $7K |
| HIGHLAND CAPITAL ADVISORS EIN 91-0889948 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $7K |
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 | 872 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 136 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,008 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL OF WASHINGTON, INC. | 510 | $194K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 961 | $153K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE COLUMBIA, SC | 1,013 | $459K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,013 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.