| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GERALD INGRAHAM3 | PO BOX 133 MOXEE, WA 98936 | AFLAC | $3K | $0 | $3K | 8.94% |
| BRIAN W. BALMES3 | 757 HIGH VALLEY ROAD SELAH, WA 98942 | AFLAC | $568 | $0 | $568 | 1.56% |
| MJ INSURANCE3 Filed as: TERRY ALLEN AND VARIOUS AGENTS | 20930 EAST HAPPY TRAILS LANE OTIS ORCHARDS, WA 99027 | AFLAC | $360 | $0 | $360 | 0.99% |
| TRICIA CHARLES3 | 615 SOUTH 48TH AVENUE, SUITE B YAKIMA, WA 98908 | AFLAC | $339 | $0 | $339 | 0.93% |
| MICHAEL D SCHULTZ3 Filed as: MICHAEL T. PETTERSON | 203 NORTH CENTENNIAL STREET MOXEE, WA 98936 | AFLAC | $284 | $0 | $284 | 0.78% |
| SEAN F HARRINGTON3 Filed as: SEAN F. HARRINGTON | 11151 MIERAS ROAD YAKIMA, WA 98901 | AFLAC | $269 | $0 | $269 | 0.74% |
| MICHAEL A MAYER3 Filed as: MICHAEL A. MAYER | 4406 CAMPOLINA LANE PASCO, WA 99301 | AFLAC | $227 | $0 | $227 | 0.62% |
| DAVID JOSHUA ABDELAZIZ3 | 6404 DODGER DRIVE PASCO, WA 99301 | AFLAC | $22 | $0 | $22 | 0.06% |
| MJ INSURANCE3 Filed as: CLIFF BARROWS AND VARIOUS AGENTS | 5716 SOUTH FERRALL STREET SPOKANE, WA 99223 | AFLAC | $21 | $0 | $21 | 0.06% |
| DIXIE D SIMON3 Filed as: DIXIE D. SIMON | 509 NORTH SHAMROCK ROAD SPOKANE VALLEY, WA 99037 | AFLAC | $12 | $0 | $12 | 0.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NORTHEAST 195TH STREET SUITE 200 BOTHELL, WA 98011 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 2158 RIVERSIDE, CA 92516 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $925 | $925 | 5.49% |
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 | 150 | 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) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 154 | $17K |
| Other(3 contracts, 3 carriers) | AFLAC | 170 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.