| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GERALD INGRAHAM3 | 6 SOUTH 2ND STREET SUITE 718 YAKIMA, WA 98901 | AFLAC | $7K | $500 | $7K | 11.22% |
| MICHAEL PETTERSON3 | PO BOX 3 MOXEE, WA 98936 | AFLAC | $3K | $324 | $3K | 5.30% |
| MICHAEL A MAYER3 Filed as: MICHAEL MAYER | PO BOX 5625 PASCO, WA 99302 | AFLAC | $1K | $139 | $1K | 1.94% |
| BRIAN W. BALMES3 Filed as: BRIAN BALMES | 302 SOUTH FIRST STREET YAKIMA, WA 98901 | AFLAC | $1K | $0 | $1K | 1.55% |
| SEAN F HARRINGTON3 Filed as: SEAN HARRINGTON | 11151 MIERAS ROAD YAKIMA, WA 98901 | AFLAC | $479 | $0 | $479 | 0.74% |
| MJ INSURANCE3 Filed as: MAYRA RIVERA AND VARIOUS AGENTS | 712 CEMETERY ROAD SUNNYSIDE, WA 98944 | AFLAC | $240 | $12 | $252 | 0.39% |
| DIXIE D SIMON3 Filed as: DIXIE SIMON | 509 NORTH SHAMROCK ROAD SPOKANE VALLEY, WA 99037 | AFLAC | $125 | $0 | $125 | 0.19% |
| KRISTEN SUE PLAISANCE3 Filed as: KRISTEN PLAISANCE AND VARIOUS AGENT | 11315 EAST 12TH AVENUE SPOKANE VALLEY, WA 99206 | AFLAC | $10 | $0 | $10 | 0.02% |
| CLIFF HARRISON BARROWS3 Filed as: CLIFF BARROWS | 5716 SOUTH FARRALL STREET SPOKANE, WA 99223 | AFLAC | $7 | $0 | $7 | 0.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 12100 NE 195TH STREET, SUITE 200 BOTHELL, WA 98011 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $426 | $3K | 17.34% |
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 | 158 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 157 | $18K |
| Other(3 contracts, 3 carriers) | AFLAC | 176 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.