| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OLYMPIC CREST INSURANCE, INC.3 | PO BOX 2538 GIG HARBOR, WA 98335 | UNITEDHEATHCARE INSURANCE COMPANY | $20K | — | $20K | 2.41% |
| CASCADE VALLEY INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | UNITEDHEATHCARE INSURANCE COMPANY | $10K | — | $10K | 1.22% |
| OLYMPIC CREST INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | DELTA DENTAL OF WASHINGTON | $3K | — | $3K | 4.15% |
| CASCADE VALLEY INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | DELTA DENTAL OF WASHINGTON | $990 | — | $990 | 1.24% |
| CORRY AGENCY, INC.3 | PO BOX 950 GIG HARBOR, WA 98335 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.26% |
| OLYMPIC CREST INSURANCE, INC.3 | PO BOX 2538 GIG HARBOR, WA 98335 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 4.54% |
| CASCADE VALLEY INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.41% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $131 | $131 | 0.24% |
| OLYMPIC CREST INSURANCE, INC.3 | PO BOX 2538 GIG HARBOR, WA 98335 | VISION SERVICE PLAN | $576 | — | $576 | 5.83% |
| CASCADE VALLEY INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | VISION SERVICE PLAN | $168 | — | $168 | 1.70% |
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 | 129 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEATHCARE INSURANCE COMPANY | 122 | $812K |
| Dental | DELTA DENTAL OF WASHINGTON | 148 | $80K |
| Vision | VISION SERVICE PLAN | 101 | $10K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 129 | $56K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 129 | $56K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 129 | $56K |
| Prescription drug | UNITEDHEATHCARE INSURANCE COMPANY | 122 | $812K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 164 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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.