| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONOVER INSURANCE SERVICES LLC Filed as: CONOVER INSURANCE | PO BOX 90007 BELLEVUE, WA 98009 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $13K | — | $13K | 4.43% |
| CONOVER INSURANCE SERVICES LLC Filed as: CONOVER INSURANCE | PO BOX 90007 BELLEVUE, WA 98009 | KAISER FOUNDATION HEALTH PLAN OF WA OPTIONS INC | $5K | — | $5K | 2.98% |
| AXIS INS LLC D/B/A3 Filed as: AXIS INS LLC DBA CONOVER INSURANCE | PO BOX 10088 YAKIMA, WA 989091088 | METROPOLITAN LIFE INSURANCE COMPANY | $767 | $31 | $798 | 11.85% |
| LIAZON BENEFITS INC3 | 199 SCOTT ST FL 8 BUFFALO, NY 142042265 | METROPOLITAN LIFE INSURANCE COMPANY | $648 | $8 | $656 | 9.74% |
| LIAZON BENEFITS INC3 | 199 SCOTT ST FL 8 BUFFALO, NY 142042265 | METROPOLITAN LIFE INSURANCE COMPANY | $407 | $8 | $415 | 12.86% |
| AXIS INS LLC D/B/A3 Filed as: AXIS INS LLC DBA CONOVER INSURANCE | PO BOX 10088 YAKIMA, WA 989091088 | METROPOLITAN LIFE INSURANCE COMPANY | $311 | $31 | $342 | 10.60% |
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 | 99 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 77 | $468K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 77 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.