| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 1325 4TH AVE. STE. 2100 SEATTLE, WA 98101 | UNITEDHEALTHCARE INSURANCE COMPANY | $56K | — | $56K | 4.35% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 15.52% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 450 S. ORANGE AVE. FL. 4 ORLANDO, FL 32801 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 20.63% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 1325 4TH AVE. STE. 2100 SEATTLE, WA 98101 | VISION SERVICE PLAN | $757 | — | $757 | 7.30% |
| EMPLOYEE NAVIGATOR, LLC5 Filed as: EMPLOYEE NAVIGATOR LLC | 7979 OLD GEORGETOWN RD. STE. 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $5 | — | $5 | 0.05% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF WASHINGTON LLC | 1325 4TH AVE. SUITE 2100 SEATTLE, WA 98101 | FIRST CHOICE EAP | $464 | — | $464 | 8.01% |
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 | 232 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 247 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 118 | $1.3M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 118 | $1.3M |
| Vision | VISION SERVICE PLAN | 87 | $10K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $26K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $21K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 118 | $1.3M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 232 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 232 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.