| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS INC | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $51K | $0 | $51K | 4.03% |
| GCG FINANCIAL LLC3 Filed as: CARL DICKERSON | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | BLUE CROSS OF IDAHO HEALTH SERVICE, INC. | $11K | $0 | $11K | 1.91% |
| MICHAEL WOLFF3 | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | BLUE CROSS OF IDAHO HEALTH SERVICE, INC. | $1K | $0 | $1K | 0.20% |
| DANIELLE HUSTON3 | 1201 PACIFIC AVENUE, SUITE 1000 TACOMA, WA 98401 | BLUE CROSS OF IDAHO HEALTH SERVICE, INC. | $1K | $0 | $1K | 0.19% |
| AON CONSULTING INC3 | 1420 FIFTH AVENUE, SUITE 1200 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | $0 | $5K | 2.74% |
| PROPEL INSURANCE3 | PO BOX 2940 TACOMA, WA 98401 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $39 | $39 | 0.03% |
| AON CONSULTING INC3 | 1420 FIFTH AVENUE, SUITE 1200 SEATTLE, WA 98101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $0 | $7K | 8.85% |
| UNKNOWN3 | UNKNOWN WOODINVILLE, WA 98072 | DELTA DENTAL OF IDAHO | $3K | $0 | $3K | 7.99% |
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 | 440 | 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) | 440 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 228 | $2.0M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 267 | $153K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 440 | $75K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 440 | $75K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 228 | $2.0M |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 440 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 440 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.