| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLD ROAD, 5TH FLOOR ROLLING MEADOWS, IL 60008 | SYMETRA LIFE INSURANCE COMPANY | $17K | $4K | $22K | 7.06% |
| CONNEXION INSURANCE SOLUTIONS3 | 9725 3RD AVENUE NE, SUITE110 SEATTLE, WA 98115 | SYMETRA LIFE INSURANCE COMPANY | $15K | $0 | $15K | 5.00% |
| GREGORY J. HINE3 Filed as: GREGORY HINE | 8118 62ND DRIVE NE, SUITE 100 MARYSVILLE, WA 98270 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $19K | $0 | $19K | 7.32% |
| SCOTT FENTON3 Filed as: SCOTT RONALD FENTON | 1183 MANZANITA DRIVE PACIFICA, CA 94044 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $182 | $16K | $16K | 6.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE BELLEVUE, WA 98004 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $712 | $10K | 4.02% |
| JUDY INEZ BUCHOLTZ3 | 12517 217TH AVENUE COURT EAST BONNEY LAKE, WA 98391 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $200 | $4K | 1.58% |
| MEGAN ELIZABETH CASTO3 | 10340 CARNEY DRIVE SE OLYMPIA, WA 98501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $777 | $345 | $1K | 0.43% |
| CHRISTOPHER ROBERT BERRY3 Filed as: CHRISTOPHER ROBERT BERRY & OTHERS | 9222 168TH STREET SE SNOHOMISH, WA 98296 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $408 | $0 | $408 | 0.16% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | DBA PROPEL INSURANCE TACOMA, WA 98402 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $399 | $0 | $399 | 0.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 21ST FLOOR ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 4.62% |
| HODGES-MACE BENEFITS GRP INC3 Filed as: HODGES-MACE BENEFITS GROUP | 3350 RIVERWOOD PARKWAY, SUITE 80 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $646 | $0 | $646 | 0.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $277 | $0 | $277 | 0.19% |
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 | 1,787 | 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) | 1,787 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS | 2,036 | $26.4M |
| Dental(2 contracts, 2 carriers) | PREMERA BLUE CROSS | 2,036 | $27.1M |
| Vision | VISION SERVICE PLAN | 3,122 | $212K |
| Life insurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 1,875 | $449K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 174 | $259K |
| Prescription drug | PREMERA BLUE CROSS | 2,036 | $26.4M |
| Other(4 contracts, 4 carriers) | SYMETRA LIFE INSURANCE COMPANY | 1,992 | $750K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,122 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.