| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 501 N RIVERPOINT BLVD, SUITE 403 SPOKANE, WA 99202 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $40K | — | $40K | 3.89% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 501 N RIVERPOINT BLVD, SUITE 403 SPOKANE, WA 99202 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $5K | — | $5K | 2.25% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 501 N RIVERPOINT BLVD, SUITE 403 SPOKANE, WA 99202 | DELTA DENTAL OF WASHINGTON | $6K | — | $6K | 5.00% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS INC | PO BOX 34315 SEATTLE, WA 981241315 | PREMERA BLUE CROSS | $3K | — | $3K | 6.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 1430 N. 16TH AVE BUILDING H YAKIMA, WA 98902 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 11.51% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 2925 PALMER ST, STE B MISSOULA, MT 59806 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $481 | $2K | 7.29% |
| MASTER UNUM ENROLL Filed as: UNUM BEN ADMIN | 1 FOUNTAIN SQUARE CHATTANOOOGA, TN 37402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $99 | $0 | $99 | 0.34% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PAYNEWEST INSURANCE INC | 2925 PALMER ST, STE B MISSOULA, MT 598081658 | VISION SERVICE PLAN | $846 | — | $846 | 5.41% |
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 | 202 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 202 | 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 | 186 | $1.3M |
| Dental | DELTA DENTAL OF WASHINGTON | 252 | $124K |
| Vision | VISION SERVICE PLAN | 191 | $16K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 165 | $58K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 186 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.