| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 501 N RIVERPOINT BLVD, SUITE 403 SPOKANE, WA 99202 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $31K | — | $31K | 3.09% |
| MARSH & MCLENNAN AGENCY LLC3 | 501 N RIVERPOINT BLVD, SUITE 403 SPOKANE, WA 99202 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $21K | — | $21K | 2.91% |
| MARSH & MCLENNAN AGENCY LLC Filed as: PAYNEWEST INSURANCE INC | PO BOX 30638 BILLINGS, MT 59101 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $4K | — | $4K | 5.00% |
| MARSH & MCLENNAN AGENCY LLC Filed as: PAYNEWEST INSURANCE INC | PO BOX 30638 BILLINGS, MT 59101 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 6.43% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS, INC | PO BOX 34315 SEATTLE, WA 981241315 | PREMERA BLUE CROSS | $4K | — | $4K | 6.00% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 4386 MISSOULA, MT 598064386 | VISION SERVICE PLAN | $1K | — | $1K | 5.08% |
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 | 280 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 280 | 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. | 152 | $1.8M |
| Dental(2 contracts, 2 carriers) | WILLAMETTE DENTAL OF WASHINGTON, INC. | 165 | $158K |
| Vision | VISION SERVICE PLAN | 239 | $24K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 152 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 239 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.