| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FORTUNE MANAGEMENT, INC.3 Filed as: FORTUNE MANAGEMENT INC | PO BOX 75009 SEATTLE, WA 98125 | REGENCE BLUESHIELD | $19K | $0 | $19K | 2.76% |
| FORTUNE MANAGEMENT, INC.3 Filed as: FORTUNE MANAGEMENT INC | PO BOX 75009 SEATTLE, WA 98125 | DELTA DENTAL OF WASHINGTON | $2K | $0 | $2K | 4.68% |
| UNKNOWN3 | UNKNOWN SEATTLE, WA 98121 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $775 | $0 | $775 | 5.00% |
| JOEL N NEWMAN AGENCY LLC3 | 924-B NORTHWEST 52ND STREET SEATTLE, WA 98107 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $351 | $2 | $353 | 2.64% |
| LIFE AND HEALTH UNDERWRITERS, INC.3 Filed as: LIFE AND HEALTH UNDERWRITERS INC | 601 UNION STREET SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $324 | $0 | $324 | 2.42% |
| BRIAN T MURPHY LLC3 | 5002 47TH AVENUE SOUTHWEST SEATTLE, WA 98136 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $153 | $2 | $155 | 1.16% |
| LAURA MCCLUNG PLYLER3 Filed as: LAURA CRADDOCK | 6820 COAL CREEK PARKWAY SOUTHEAST NEW CASTLE, WA 98059 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $96 | $0 | $96 | 0.72% |
| SANDRA LEE BERGMAN3 | 1880 25TH AVENUE NORTHEAST SUITE 411 ISSAQUAH, WA 98029 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $48 | $0 | $48 | 0.36% |
| MJ INSURANCE3 Filed as: KELSEY L WATKINS AND VARIOUS AGENTS | 725 SPRUCE STREET EDMONDS, WA 98020 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $30 | $1 | $31 | 0.23% |
| STEPHANIE GREGOIRE3 | 2108 SOROYA COURT SOUTHWEST SUITE B OLYMPIA, WA 98502 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $21 | $0 | $21 | 0.16% |
| FORTUNE MANAGEMENT, INC.3 Filed as: FORTUNE MANAGEMENT INC | 10702 39TH AVENUE NE SEATTLE, WA 98125 | VISION SERVICE PLAN | $705 | $0 | $705 | 7.78% |
| FORTUNE MANAGEMENT, INC.3 Filed as: FORTUNE MANAGEMENT INC | PO BOX 75009 SEATTLE, WA 98125 | LIFEMAP ASSURANCE COMPANY | $350 | $0 | $350 | 19.66% |
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 | 106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 105 | $688K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WASHINGTON | 77 | $51K |
| Vision | VISION SERVICE PLAN | 74 | $9K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 106 | $15K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 13 | $13K |
| Prescription drug | REGENCE BLUESHIELD | 105 | $688K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 106 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 106 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.