| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE, INC. | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $34K | $0 | $34K | 4.11% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE, INC. | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | STANDARD INSURANCE COMPANY | $2K | $303 | $2K | 2.38% |
| ALLISON RENEE MOSER3 | 1305 NORTHSHORE DRIVE BELLINGHAM, WA 98226 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $324 | $620 | $944 | 2.85% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE, INC. | 1620 5TH AVENUE SAN DIEGO, CA 92101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $873 | $34 | $907 | 2.74% |
| DANIEL SHARP3 | 1911 98TH STREET SE EVERETT, WA 98208 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $409 | $346 | $755 | 2.28% |
| MEGAN ELIZABETH CASTO3 Filed as: MEGAN ELIZABETH CASTRO | 10340 CARNEY DRIVE SE OLYMPIA, WA 98501 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $505 | $126 | $631 | 1.91% |
| MJ INSURANCE3 Filed as: JOE FRANZEN AND VARIOUS AGENTS | 6194 PACIFIC HEIGHTS DRIVE FERNDALE, WA 98248 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $339 | $0 | $339 | 1.02% |
| RONALD E KIRKLAND3 Filed as: RONALD JONES | 527 SOUTH BAYSIDE STREET MOSES LAKE, WA 98837 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $269 | $0 | $269 | 0.81% |
| BRAIN L. BURKHART3 | 813 VINE CIRCLE LYNDEN, WA 98264 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $213 | $0 | $213 | 0.64% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE, INC. | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $445 | $4K | 17.15% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE, INC. | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $653 | $0 | $653 | 8.11% |
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 | 164 | 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) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 171 | $825K |
| Dental | STANDARD INSURANCE COMPANY | 152 | $81K |
| Vision | VISION SERVICE PLAN | 152 | $8K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 164 | $20K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 53 | $33K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 164 | $20K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 171 | $825K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 164 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
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.