| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | PREMERA BLUE CROSS | $28K | $500 | $28K | 3.97% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | LIFEWISE ASSURANCE COMPANY | $0 | — | $0 | 0.00% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | DELTA DENTAL OF WASHINGTON | $2K | — | $2K | 3.00% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | VISION SERVICE PLAN | $671 | — | $671 | 6.04% |
| SPRAGUE ISRAEL GILES, INC.3 | 1501 4TH AVENUE SUITE 730 SEATTLE, WA 98101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
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 | 143 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 132 | $717K |
| Dental | DELTA DENTAL OF WASHINGTON | 133 | $82K |
| Vision | VISION SERVICE PLAN | 134 | $11K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 133 | $24K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 133 | $22K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 133 | $27K |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 143 | $166K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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.