| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | GROUP HEALTH COOPERATIVE | $1K | — | $1K | 0.10% |
| R.L. EVANS COMPANY, INC.3 Filed as: RL EVANS COMPANY INC | 3535 FACTORIA BLVD SE, STE 120 BELLEVUE, WA 980061290 | STANDARD INSURANCE COMPANY | $17K | $9K | $26K | 3.05% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | GROUP HEALTH COOPERATIVE | $187 | — | $187 | 0.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | VISION SERVICE PLAN | $2K | — | $2K | 1.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| REGENCE BLUESHIELD EIN 91-0282080 NONE | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Participant communication; Other commissions; Recordkeeping fees; Accounting (including auditing); Copying and duplicating; Direct payment from the plan Service code 10 | — | $629K |
| BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Contract Administrator; Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Copying and duplicating; Recordkeeping fees; Accounting (including auditing); Other commissions Service code 10 | — | $122K |
| BROWN & BROWN OF WA DBA DIMARTINO EIN 91-1473578 NONE | Consulting fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Finders' fees / placement fees; Insurance services; Insurance agents and brokers; Consulting (general); Direct payment from the plan; Insurance brokerage commissions and fees Service code 15 | — | $106K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan; Consulting (general) Service code 16 | — | $42K |
| SCHOEDEL & SCHOEDEL CPAS PLLC EIN 91-0614823 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $22K |
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 | 973 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 417 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,390 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | GROUP HEALTH COOPERATIVE | 257 | $1.4M |
| Vision | VISION SERVICE PLAN | 964 | $108K |
| Long-term disability | STANDARD INSURANCE COMPANY | 960 | $837K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 927 | $825K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 964 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.