| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUEBENEFITS LLC3 Filed as: TRUEBENEFITS | 1215 4TH AVE STE 2200 SEATTLE, WA 98161 | VISION SERVICE PLAN | $1K | — | $1K | 3.70% |
| TRUEBENEFITS LLC3 | 1215 FOURTH AVENUE SUITE 2200 SEATTLE, WA 98161 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 10.83% |
| BENEFITS ADVISORY NETWORK LLC3 | 6830 COCHRAN ROAD SOLON, OH 44139 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $181 | $181 | 1.14% |
| TRUEBENEFITS LLC3 | 1215 FOURTH AVENUE SUITE 2200 SEATTLE, WA 98161 | ANTHEM BLUE CROSS AND HEALTH INSURANCE COMPANY | $1K | — | $1K | 9.97% |
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 | 445 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 445 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 172 | $54K |
| Vision | VISION SERVICE PLAN | 266 | $36K |
| Life insurance | ANTHEM BLUE CROSS AND HEALTH INSURANCE COMPANY | 282 | $14K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 135 | $16K |
| Other(2 contracts, 2 carriers) | ANTHEM BLUE CROSS AND HEALTH INSURANCE COMPANY | 386 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 386 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.