| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GERALD INGRAHAM3 | 4903 BELL RD YAKIMA, WA 98901 | AFLAC | $3K | $68 | $3K | — |
| VIRGINIA R. STAGGERS3 Filed as: VIRGINIA R STAGGERS | 303 1/2 COLUMBIA AVE SUNNYSIDE, WA 98944 | AFLAC | $1K | $20 | $2K | — |
| BRIAN W. BALMES3 Filed as: BRIAN W BALMES | 302 S 1ST ST YAKIMA, WA 98901 | AFLAC | $1K | $40 | $1K | — |
| SEAN F HARRINGTON3 | 102 SOUTH 5TH AVENUE YAKIMA, WA 98902 | AFLAC | $675 | $40 | $715 | — |
| ANDREA DE LEON3 | PO BOX 156 OTHELLO, WA 99344 | AFLAC | $384 | $0 | $384 | — |
| JAIME PEREZ3 | 21 CODY LN SUNNYSIDE, WA 98944 | AFLAC | $372 | $0 | $372 | — |
| LINDA F CRAIG3 Filed as: LINDA CRAIG | PO BOX 634 SUNNYSIDE, WA 98944 | AFLAC | $330 | — | $330 | — |
| MICHAEL A MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $285 | $0 | $285 | — |
| AL HULVERSON3 | 17937 DALISKY CT SW TENINO, WA 98589 | AFLAC | $185 | — | $185 | — |
| DARAN L WYCKOFF3 | 920 N ARGONNE SUITE 309 SPOKANE VALLEY, WA 99212 | AFLAC | $143 | $39 | $182 | — |
| CLG EMPLOYER RESOURCES LLC3 | 209 MAIN AVE S, STE 100 NORTH BEND, WA 98045 | AFLAC | $146 | — | $146 | — |
| ROGER L OLSON3 Filed as: ROGER OLSON | 471 DAVIS LAKE RD USK, WA 99180 | AFLAC | $128 | — | $128 | — |
| DIXIE D SIMON3 Filed as: DIXIE SIMON | 509 N SHAMROCK RD SPOKANE VALLEY, WA 99037 | AFLAC | $122 | — | $122 | — |
| SAMUEL G DELEON3 | PO BOX 156 OTHELLO, WA 99344 | AFLAC | $97 | — | $97 | — |
| BECKY A RUPPERT AND OTHER AGENTS3 Filed as: BECKY A RUPPERT | 1691 ARROWSMITH RD SUNNYSIDE, WA 98944 | AFLAC | $48 | — | $48 | — |
| SANDRA J NOE3 Filed as: SANDRA NOE | 2311 W 16TH AVE LOT 210 SPOKANE, WA 99224 | AFLAC | $28 | — | $28 | — |
| IRA MAYNE3 | PO BOX 10777 YAKIMA, WA 98909 | AFLAC | $26 | — | $26 | — |
| LEO JENNINGS3 | 500 LOUCHER RD TOUCHET, WA 99360 | AFLAC | $18 | — | $18 | — |
| DEBORAH E BRANDT3 | 3305 W 42ND PL KENNEWICK, WA 99337 | AFLAC | $13 | — | $13 | — |
| KRISTEN SUE PLAISANCE3 | 13306 E 25TH AVE SPOKANE VALLEY, WA 99216 | AFLAC | $12 | — | $12 | — |
| COREY H ROWLES3 | 13006 244TH AVE SE ISSAQUAH, WA 98027 | AFLAC | $8 | — | $8 | — |
| TRUEBENEFITS LLC3 | 1215 4TH AVE, STE 2200 SEATTLE, WA 98161 | AFLAC | $7 | — | $7 | — |
| ERNEST E SNOOK3 | 14011 282ND LN NE DUVALL, WA 98019 | AFLAC | $6 | — | $6 | — |
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 | 82 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 82 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AFLAC | 82 | $0 |
| Short-term disability | AFLAC | 82 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 82 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.