| 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 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $772 | — | $772 | 0.08% |
| R.L. EVANS COMPANY, INC.3 Filed as: RL EVANS COMPANY INC | 3535 FACTORIA BLVD SE, STE 120 BELLEVUE, WA 980061290 | STANDARD INSURANCE COMPANY | $18K | $11K | $29K | 3.15% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | — | — | $0 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | 800 5TH AVE, STE 2400 SEATTLE, WA 981043151 | VISION SERVICE PLAN | $2K | — | $2K | 1.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| VERA WHOLE HEALTH, INC. EIN 20-8906429 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Direct payment from the plan; Contract Administrator; Other services; Participant communication; Accounting (including auditing); Recordkeeping fees; Claims processing Service code 10 | — | $805K |
| REGENCE BLUESHIELD EIN 91-0282080 NONE | Other commissions; Participant communication; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Accounting (including auditing); Recordkeeping fees; Copying and duplicating; Claims processing Service code 10 | — | $718K |
| DPC CORE, INC. NONE | Other commissions; Direct payment from the plan; Contract Administrator; Copying and duplicating; Recordkeeping fees; Accounting (including auditing); Float revenue; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 10 | PO BOX 515 CAMAS, WA 98607 | $281K |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Other commissions; Participant communication; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Recordkeeping fees; Copying and duplicating; Claims processing Service code 10 | — | $131K |
| BROWN & BROWN OF WA DBA DIMARTINO EIN 91-1473578 NONE | Insurance brokerage commissions and fees; Insurance services; Insurance agents and brokers; Finders' fees / placement fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting fees; Direct payment from the plan; Consulting (general) Service code 15 | — | $119K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Consulting (general); Legal; Direct payment from the plan Service code 16 | — | $42K |
| SCHOEDEL & SCHOEDEL CPAS PLLC EIN 91-0614823 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $24K |
| WEST COAST BUSINESS GRAPHICS EIN 91-2182455 NONE | Participant communication; Copying and duplicating; Direct payment from the plan Service code 36 | — | $7K |
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 | 1,030 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 386 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,416 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 184 | $1.2M |
| Vision | VISION SERVICE PLAN | 990 | $137K |
| Long-term disability | STANDARD INSURANCE COMPANY | 955 | $914K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 966 | $940K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 990 | — |
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.