| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARKER SMITH & FEEK INC.3 Filed as: PARKER, SMITH & FEEK, INC. | 2233 112TH AVENUE NE BELLEVUE, WA 98004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $704 | $704 | 1.25% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER, SMITH & FEEK, INC. | 2233 112TH AVENUE NE BELLEVUE, WA 98004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $306 | $306 | 1.25% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER, SMITH & FEEK INC. | 2233 112TH AVENUE NE BELLEVUE, WA 98004 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $27 | $2 | $29 | 1.76% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 1.27% |
| KEVIN OVERBEY3 | 720 OLIVE WAY, SUITE 1700 SEATTLE, WA 98101 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.79% |
| ASSUREX3 | 175 S. 3RD STREET COLUMBUS, OH 43215 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $2 | $2 | 0.12% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.06% |
| PARKER SMITH & FEEK INC.3 Filed as: PARKER, SMITH & FEEK INC. | 2233 112TH AVENUE NE BELLEVUE, WA 98004 | FIRST UNUM LIFE INSURANCE COMPANY | $17 | $1 | $18 | 3.75% |
| ASSUREX3 | 175 S. 3RD STREET COLUMBUS, OH 43215 | FIRST UNUM LIFE INSURANCE COMPANY | — | $1 | $1 | 0.21% |
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 | 411 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 421 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HAWAII MEDICAL SERVICE ASSOCIATION | 1 | $11K |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 333 | $215K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 261 | $35K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 411 | $91K |
| Short-term disability(2 contracts, 2 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 9 | $2K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 411 | $56K |
| Prescription drug | HAWAII MEDICAL SERVICE ASSOCIATION | 1 | $11K |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 411 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 411 | — |
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."
No prospect flags tripped on this filing.