| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $4K | $13K | 4.83% |
| ECHELON GROUP INC3 | 408 E PARKCENTER BLVD STE 330 BOISE, ID 837066502 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $15 | $13K | 4.69% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $2K | $9K | 3.44% |
| CONOVER INSURANCE SERVICES LLC3 | PO BOX 90007 BELLEVUE, WA 980099007 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.60% |
| ECHELON GROUP INC3 | 408 E PARKCENTER BLVD STE 330 BOISE, ID 83706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | — | $12K | 11.08% |
| VALORIE L STRICKLAND3 | 1437 CIMARRON PL RICHLAND, WA 99352 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $250 | $9K | 7.81% |
| CHRISTOPHER ROBERT BERRY3 Filed as: CHRISTOPHER R BERRY | 27108 162ND ST SE MONROE, WA 98272 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $4K | $7K | 6.67% |
| JESSICA LOREE GROW3 Filed as: JESSICA L GROW | 10 S VANCOUVER STREET KENNEWICK, WA 99336 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 3.84% |
| GREYHAVENS CONSULTING LLC3 | 1313 E MAPLE ST BELLINGHAM, WA 98225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 3.41% |
| LAURIE C BERRY3 | 19308 CROWN RIDGE BLVD ARLINGTON, WA 98223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $691 | $3K | 2.77% |
| DAVID JOSHUA ABDELAZIZ3 Filed as: DAVID & CHERYAL HEPPNER | 5120 BRANDON CT PASCO, WA 99301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $193 | $2K | 1.68% |
| LUANN E DAVIS3 | 325 N GRANT STREET KENNEWICK, WA 99336 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $851 | $200 | $1K | 0.94% |
| DENISE A MAXWELL3 | 3501 W TORANA DR MERIDAN, ID 83646 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $451 | $321 | $772 | 0.69% |
| JASON BERRY3 | 19728 76TH AVE W STE 104 LYNNWOOD, WA 98501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $574 | $17 | $591 | 0.53% |
| TERESA FELLER3 | 3405 172ND STREET NE STE 5 ARLINGTON, WA 98223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $274 | $86 | $360 | 0.32% |
| ROBIN JO SANDERS3 Filed as: ROBIN J SANDERS | 717 FRANCIS AVE WALLA WALLA, WA 99362 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $113 | — | $113 | 0.10% |
| BENEFITS BY DESIGN INC3 | 2101 NE 279TH ST RIDGEFIELD, WA 98642 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $103 | — | $103 | 0.09% |
| MARK CHARLES MORGAN3 Filed as: MARK C MORGAN | 2550 GRA FALLS DR STE 350 HOUSTON, TX 77077 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $75 | $5 | $80 | 0.07% |
| BRANDY FLAJOLE3 | 681 S 40TH AVE WEST RICHLAND, WA 99353 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 0.06% |
| JODI MOYLAN3 | 19103 MERIDAN EAST PUYALLUP, WA 98375 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $53 | — | $53 | 0.05% |
| DALE WITWER3 | 4535 MURIS LANE PASCO, WA 99301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $11 | $27 | 0.02% |
| TAI D SHIN3 | 619 LEGION WAY SW OLYMPIA, WA 98501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $2 | $23 | 0.02% |
| ECHELON GROUP INC3 | 408 E PARKCENTER BLVD SUITE 330 BOISE, ID 83706 | WILLAMETTE DENTAL OF WASHINGTON INC | $887 | — | $887 | 3.00% |
No Schedule C service providers reported on this filing.
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 | 221 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 221 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WA OPTIONS, INC | 221 | $2.6M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 514 | $306K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 514 | $388K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 94 | $112K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 514 | $388K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF WA OPTIONS, INC | 221 | $2.6M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 514 | $276K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 514 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.