| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN DREW3 | 1001 HIGHLANDS PLAZA DRIVE WEST SUITE 500 SANT LOUIS, MO 63110 | REGENCE BLUESHIELD OF IDAHO, INC. | $57K | $0 | $57K | 2.72% |
| WILLIAM COLES3 | 213 SOUTH JEFFERSON STREET SUITE 1402 ROANOKE, VA 24011 | REGENCE BLUESHIELD OF IDAHO, INC. | $5K | $0 | $5K | 0.25% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL & HENRY CO THE | 1001 HIGHLANDS PLAZA DRIVE WEST SUITE 500 SAINT LOUIS, MO 63110 | HARTFORD LIFE AND ACCIDENT | $10K | $0 | $10K | 10.00% |
| MJ INSURANCE3 Filed as: BRADLEY EHRLICH AND VARIOUS AGENTS | 1052 WEST OAKWOOD DRIVE HAYDEN, ID 83835 | AFLAC | $4K | $59 | $4K | 10.58% |
| JENNIFER SCOTT3 | 1361 EAST WESTDALE DRIVE HAYDEN, ID 83835 | AFLAC | $2K | $105 | $2K | 6.25% |
| TAYLOR INSURANCE, INC.3 Filed as: TAYLOR INSURNACE INC | 1009 WEST SUPERIOR STREET SANDPOINT, ID 83864 | AFLAC | $580 | $0 | $580 | 1.72% |
| ANTHONY SWEETER3 Filed as: ANTHONY J. SWEETER | 10650 COUNTY ROAD 81 SUITE 224 MAPLE GROVE, MN 55369 | AFLAC | $496 | $0 | $496 | 1.47% |
| DANIEL J ERTZ3 | PO BOX 1816 COEUR D ALENE, ID 83816 | AFLAC | $377 | $9 | $386 | 1.14% |
| JODY L WALK3 Filed as: JODY L. WALK | 2445 LAKE VISTA COURT APARTMENT 115 CASSELBERRY, FL 32707 | AFLAC | $308 | $20 | $328 | 0.97% |
| DARAN L WYCKOFF3 Filed as: DARAN WYCKOFF | PO BOX 952 SPOKANE VALLEY, WA 99037 | AFLAC | $279 | $9 | $288 | 0.85% |
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 | 299 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 303 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD OF IDAHO, INC. | 501 | $2.1M |
| Dental | DELTA DENTAL OF IDAHO | 306 | $201K |
| Vision | REGENCE BLUESHIELD OF IDAHO, INC. | 501 | $2.1M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 299 | $102K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 299 | $102K |
| Prescription drug | REGENCE BLUESHIELD OF IDAHO, INC. | 501 | $2.1M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 299 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 501 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.