| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 818 W RIVERSIDE AVE STE 800 SPOKANE, WA 99201 | PREMERA BLUE CROSS | — | $15K | $15K | 3.85% |
| MOLONEY & ONEILL LIFE INC3 Filed as: MOLONEY & O NEILL LIFE IN | 818 W RIVERSIDE STE 800 SPOKANE, WA 99201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.00% |
| AON CONSULTING INC3 Filed as: CUSTOM BENEFIT PROGRAMS AN AON COMP | 897 12TH ST HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $325 | $2K | 7.41% |
| OVERBEY, KEVIN, THOMAS3 | 720 OLIVE WAY STE 1700 SEATTLE, WA 98101 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $254 | — | $254 | 1.07% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC.-HQ | 1301 DOVE ST STE 200 ATTENTION ERICA MENDEZ NEWPORT BEACH, CA 92660 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | -$2 | -$2 | -0.01% |
| MOLONEY & ONEILL LIFE INC3 Filed as: MOLONEY & O NEILL LIFE IN | 818 W RIVERSIDE STE 800 SPOKANE, WA 99201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $518 | — | $518 | 9.99% |
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 | 729 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 731 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 734 | $379K |
| Dental | PREMERA BLUE CROSS | 734 | $379K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 260 | $32K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 59 | $24K |
| Prescription drug | PREMERA BLUE CROSS | 734 | $379K |
| Other(2 contracts, 2 carriers) | VIVACITY | 1,060 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,060 | — |
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."
No prospect flags tripped on this filing.