| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUEBENEFITS LLC3 | 1215 4TH AVE, SUITE 2200 SEATTLE, WA 98161 | GROUP HEALTH OPTIONS, INC. | $36K | — | $36K | 3.28% |
| TRUEBENEFITS LLC3 | 1215 4TH AVE, SUITE 2200 SEATTLE, WA 98161 | DELTA DENTAL OF WASHINGTON | $5K | — | $5K | 2.99% |
| TRUEBENEFITS LLC3 | 1215 4TH AVE, SUITE 2200 SEATTLE, WA 98161 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $2K | $11K | 9.85% |
| TRUEBENEFITS LLC3 | 1215 4TH AVENUE, SUITE 2200 SEATTLE, WA 98161 | VISION SERVICE PLAN | $1K | — | $1K | 5.67% |
| TRUEBENEFITS LLC3 | 1215 4TH AVE, SUITE 2200 SEATTLE, WA 98161 | GERBER LIFE & ACCIDENT INSURANCE COMPANY | $190 | — | $190 | 15.02% |
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 | 171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GROUP HEALTH OPTIONS, INC. | 429 | $1.1M |
| Dental | DELTA DENTAL OF WASHINGTON | 432 | $179K |
| Vision | VISION SERVICE PLAN | 114 | $19K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $109K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $109K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $109K |
| Prescription drug | GROUP HEALTH OPTIONS, INC. | 429 | $1.1M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 181 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 432 | — |
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.