| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 2632 SOUTH CORBIN CIRCLE GREENACRES, WA 99016 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 22.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 12100 NE 195TH STREET, SUITE 200 BOTHELL, WA 98011 | CONTINENTAL AMERICA INSURANCE COMPANY | $848 | $0 | $848 | 9.83% |
| GAYLE ANN MANI DUNBAR3 Filed as: GAYLE A. MANICA DUNBAR | 621 SOUTH 30TH AVENUE YAKIMA, WA 98902 | CONTINENTAL AMERICA INSURANCE COMPANY | $182 | $0 | $182 | 2.11% |
| GERALD INGRAHAM3 | 6 SOUTH 2ND STREET, SUITE 718 YAKIMA, WA 98901 | CONTINENTAL AMERICA INSURANCE COMPANY | $130 | $0 | $130 | 1.51% |
| TRICIA CHARLES3 | 615B SOUTH 48TH AVENUE, SUITE B YAKIMA, WA 98908 | CONTINENTAL AMERICA INSURANCE COMPANY | $76 | $0 | $76 | 0.88% |
| DAVID JOSHUA ABDELAZIZ3 Filed as: DAVID J. ABDELAZIZ | 331 SADDLE LEAF CIBOLO, TX 78108 | CONTINENTAL AMERICA INSURANCE COMPANY | $46 | $0 | $46 | 0.53% |
| DAVID ROJAS3 | 169 EAGLE RIDGE DRIVE EAST PUYALLOP, WA 98374 | CONTINENTAL AMERICA INSURANCE COMPANY | $39 | $0 | $39 | 0.45% |
| KYONG H. GOINS3 | 2931 1ST AVENUE, SUITE A SEATTLE, WA 98134 | CONTINENTAL AMERICA INSURANCE COMPANY | $39 | $0 | $39 | 0.45% |
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 | 140 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $19K |
| Short-term disability | CONTINENTAL AMERICA INSURANCE COMPANY | 22 | $9K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.