| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MADDOCK & ASSOCIATES LLC3 Filed as: MADDOCK AND ASSOCIATES LLC | 1407 WILLOW ROAD EAST, SUITE C FIFE, WA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $6K | $11K | 11.07% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.51% |
| MADDOCK & ASSOCIATES LLC3 Filed as: MADDOCK AND ASSOCIATES LLC | 1407 WILLOW ROAD EAST FIFE, WA 98424 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $0 | $8K | 9.20% |
| MJ INSURANCE3 Filed as: CARYL ESTES AND VARIOUS AGENTS | 15907 ASH WAY LYNNWOOD, WA 98087 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $223 | $3K | 3.90% |
| DOUGLAS EDWARD VISESELMEYER3 Filed as: DOUGLAS EDWARD VISELMEYER | 14405 115TH AVENUE COUT EAST PUYALLUP, WA 98374 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $234 | $2K | 2.84% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 2.09% |
| ROBERT WILLIAM PLATTE3 | 15221 227TH AVENUE NE WOODINVILLE, WA 98077 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $214 | $1K | 1.76% |
| RONALD E KIRKLAND3 Filed as: RONALD JONES | 320 NANCY COUT MOSCOW, ID 83843 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $124 | $1K | 1.69% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH DENISE VIESELMEYER | 14405 115TH AVENUE COURT EAST PUYALLUP, WA 98374 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $792 | $456 | $1K | 1.48% |
| MADDOCK & ASSOCIATES LLC3 Filed as: MADDOCK AND ASSOCIATES LLC | 1407 WILLOW ROAD EAST, SUITE C FIFE, WA 98424 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 13.89% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $449 | $0 | $449 | 2.07% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 808 GLENALOUGH ROAD ERDENHEIM, PA 19038 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $150 | $150 | 0.69% |
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 | 118 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 203 | $103K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 203 | $103K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 203 | $103K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $22K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $22K |
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 90 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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.
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.