| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUEBENEFITS LLC3 | — | REGENCE BLUESHIELD | $7K | — | $7K | 0.77% |
| USA INSURANCE MARKETING INC3 Filed as: USA INSURANCE SERVICES USA INC. | — | DELTA DENTAL OF WASHINGTON | $4K | — | $4K | 3.28% |
| TRUEBENEFITS LLC3 | — | DELTA DENTAL OF WASHINGTON | $2K | — | $2K | 1.33% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 9.76% |
| TRUEBENFITS LLC3 | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 5.24% |
| TRUEBENEFITS LLC3 | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 9.79% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVCIES NATIONAL INC | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $545 | — | $545 | 5.22% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVIES | NATIONAL, INC. PO BOX 203588 DALLAS, TX 75320 | VISION SERVICE PROVIDER | $553 | — | $553 | 5.37% |
| TRUEBENEFITS LLC3 | — | VISION SERVICE PROVIDER | $209 | — | $209 | 2.03% |
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 | 314 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 314 | $957K |
| Dental | DELTA DENTAL OF WASHINGTON | 197 | $116K |
| Vision | VISION SERVICE PROVIDER | 91 | $10K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 156 | $10K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 156 | $39K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 156 | $17K |
| Prescription drug | REGENCE BLUESHIELD | 314 | $957K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 156 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 314 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.