| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIMARTINO ASSOCIATES3 | 1325 FOURTH AVE, SUITE 1705 SEATTLE, WA 98101 | THE UNION LABOR LIFE INSURANCE COMPANY | $25K | $0 | $25K | 2.00% |
| GAIL E MCGINN INSURANCE INC3 | 7021 NE 138TH PL KIRKLAND, WA 98034 | USABLE LIFE | $2K | — | $2K | 0.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUESHIELD EIN 91-0282080 NONE | Non-monetary compensation; Contract Administrator; Direct payment from the plan; Claims processing; Insurance brokerage commissions and fees; Float revenue; Other services Service code 12 | — | $977K |
| WELFARE & PENSION ADMIN. SERVICE EIN 91-1363171 NONE | Accounting (including auditing); Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Contract Administrator; Copying and duplicating; Claims processing Service code 10 | — | $317K |
| BROWN & BROWN DBA DIMARTINO EIN 59-0691921 NONE | Consulting (general); Consulting fees; Direct payment from the plan; Finders' fees / placement fees Service code 16 | — | $100K |
| GAIL E MCGINN INSURANCE EIN 91-1652776 NONE | Finders' fees / placement fees; Direct payment from the plan; Consulting fees; Consulting (general) Service code 16 | — | $100K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $54K |
| WASHINGTON CAPITAL MANAGEMENT, INC EIN 91-1042342 NONE | Investment management fees paid directly by plan; Investment management; Direct payment from the plan Service code 28 | — | $46K |
| HIGHLAND CAPITAL ADVISORS EIN 20-4284376 NONE | Investment management; Direct payment from the plan Service code 28 | — | $36K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $32K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $22K |
| BANK OF AMERICA EIN 94-1687765 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $5K |
| U.S. BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Other investment fees and expenses; Custodial (securities); Direct payment from the plan Service code 19 | — | $4K |
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 | 1,346 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,366 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 87 | $724K |
| Dental | REGENCE BLUE CROSS BLUESHIELD OF OREGON | 6 | $4K |
| Vision | REGENCE BLUE CROSS BLUESHIELD OF OREGON | 6 | $4K |
| Life insurance | USABLE LIFE | 1,908 | $296K |
| Short-term disability | USABLE LIFE | 1,908 | $296K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,216 | $1.2M |
| Other | USABLE LIFE | 1,908 | $296K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,908 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.