| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUGLAS A WOHLMAN INC.3 | 809 ALOHA ST EDMONDS, WA 98020 | THE UNION LABOR LIFE INSURANCE COMPANY | $30K | — | $30K | 3.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC. | 1325 FOURTH AVE STE 1705 SEATTLE, WA 98101 | THE UNION LABOR LIFE INSURANCE COMPANY | $20K | — | $20K | 2.00% |
| R.L. EVANS COMPANY, INC.3 Filed as: EVANS RL COMPANY INC | STERLING PLAZA STE 120 3535 FACTORIA BLVD SE BELLEVUE, WA 980061290 | STANDARD INSURANCE COMPANY | $17K | $12K | $29K | 3.08% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTION, INC. | PO BOX 743048 LOS ANGELES, CA 90074 | VSP VISION CARE | $3K | — | $3K | 1.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FIREFIGHTER CLINIC, PLLC EIN 93-1864714 NONE | Other services; Accounting (including auditing); Recordkeeping fees; Direct payment from the plan; Participant communication; Employee (plan sponsor); Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 10 | — | $1.4M |
| REGENCE BLUE SHIELD EIN 91-0282080 NONE | Direct payment from the plan; Float revenue; Other services; Claims processing; Insurance brokerage commissions and fees; Non-monetary compensation; Contract Administrator Service code 12 | — | $757K |
| DPC CORE, INC EIN 81-4959213 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Claims processing; Direct payment from the plan; Other commissions; Accounting (including auditing); Float revenue; Participant communication; Contract Administrator; Recordkeeping fees Service code 10 | — | $468K |
| VIMLY BENEFIT SOLUTIONS EIN 91-1603312 NONE | Direct payment from the plan; Copying and duplicating; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Accounting (including auditing); Recordkeeping fees; Contract Administrator; Other commissions Service code 10 | — | $306K |
| BROWN & BROWN INS SER DBA DIMARTINO EIN 59-0691921 NONE | Insurance services; Direct payment from the plan; Consulting (general); Insurance agents and brokers; Consulting fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance brokerage commissions and fees; Finders' fees / placement fees Service code 15 | — | $127K |
| SOUND PHYSICAL THERAPY EIN 91-2150500 NONE | Other services; Direct payment from the plan; Contract Administrator; Claims processing; Accounting (including auditing); Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Copying and duplicating Service code 10 | — | $111K |
| THE RHIZOME COLLABORATIVE DBA RHIZO EIN 91-1997463 NONE | Direct payment from the plan; Other services Service code 49 | — | $79K |
| BARLOW COUGHRAN MORALES & JOSEPHSON NONE | Legal; Direct payment from the plan; Consulting (general) Service code 16 | — | $78K |
| SCHOEDEL & SCHOEDEL, CPAS, PLLC EIN 91-0614823 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $35K |
| HIGHLAND CAPITAL ADVISORS, LLC EIN 20-4284376 NONE | Investment management fees paid directly by plan; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $29K |
| AMERIFLEX | Other commissions; Direct payment from the plan; Claims processing; Copying and duplicating; Contract Administrator; Participant communication; Sales loads (front end and deferred); Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | PO BOX 871655 KANSAS CITY, MO 64187 | $25K |
| WEST COAST BUSINESS GRAPHICS EIN 91-2182455 NONE | Direct payment from the plan; Copying and duplicating; Participant communication Service code 36 | — | $20K |
| INTEGRATIVE MENTAL HEALTH AND WELLN EIN 26-3981806 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator; Direct payment from the plan; Accounting (including auditing); Recordkeeping fees; Participant communication; Other services; Copying and duplicating Service code 10 | — | $16K |
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 | 989 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 343 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,332 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WA | 0 | $0 |
| Vision | VSP VISION CARE | 983 | $257K |
| Long-term disability | STANDARD INSURANCE COMPANY | 955 | $939K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 910 | $985K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 983 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.