| 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 | $16K | $0 | $16K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUESHIELD EIN 91-0282080 NONE | Direct payment from the plan; Other services; Float revenue; Contract Administrator; Non-monetary compensation; Claims processing; Insurance brokerage commissions and fees Service code 12 | — | $979K |
| WELFARE & PENSION ADMIN. SERVICE EIN 91-1363171 NONE | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Copying and duplicating; Participant communication; Claims processing Service code 10 | — | $242K |
| DIMARTINO & ASSOCIATES EIN 91-0378940 NONE | Consulting fees; Finders' fees / placement fees; Direct payment from the plan; Consulting (general) Service code 16 | — | $100K |
| GAIL E MCGINN INSURANCE EIN 91-1652776 NONE | Finders' fees / placement fees; Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | — | $100K |
| WASHINGTON CAPITAL MANAGEMENT, INC EIN 91-1042342 NONE | Investment management; Investment management fees paid directly by plan; Direct payment from the plan Service code 28 | — | $47K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $39K |
| HIGHLAND CAPITAL ADVISORS EIN 20-4284376 NONE | Investment management Service code 28 | — | $33K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $29K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| NORTH AMERICAN PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 389 E PALM LANE PHOENIX, AZ 98124 | $22K |
| LAW OFFICE OF RICHARD A EKMAN EIN 91-1321138 NONE | Legal; Direct payment from the plan Service code 29 | — | $12K |
| US BANK, NATIONAL ASSOCIATION EIN 31-0841368 NONE | Direct payment from the plan; Distribution (12b-1) fees; Custodial (securities) Service code 19 | — | $6K |
| BANK OF AMERICA EIN 94-1687765 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $5K |
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 | 1,304 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,338 | 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 | 113 | $909K |
| Dental | REGENCE BLUE CROSS BLUESHIELD OF OREGON | 12 | $7K |
| Vision | REGENCE BLUE CROSS BLUESHIELD OF OREGON | 12 | $7K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 960 | $332K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 960 | $332K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,178 | $802K |
| Other | LIFEMAP ASSURANCE COMPANY | 960 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,178 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.