| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $11K | $0 | $11K | 2.21% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $4K | $0 | $4K | 2.89% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | STANDARD INSURANCE COMPANY | $2K | $1K | $3K | 7.73% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | PO BOX 1279 GIG HARBOR, WA 98335 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 5.07% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $1K | $0 | $1K | 5.00% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $139 | $1K | 5.03% |
| JESSICA LYN SCOTT AND VARIOUS AGENT3 | 1405 CLEARBROOK DRIVE SE LACEY, WA 98503 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $769 | $73 | $842 | 3.64% |
| LAURABETH CHRISTENSEN3 | 16915 SE 272ND STREET COVINGTON, WA 98042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $454 | $83 | $537 | 2.32% |
| NICHOLAS STEVEN WALLACE3 | 3115 ALDERWOOD AVENUE BELLINGHAM, WA 98225 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $397 | $52 | $449 | 1.94% |
| JOEL N NEWMAN AGENCY LLC3 Filed as: JOEL N. NEWMAN AGENCY LLC | 924-B NW 52ND STREET SEATTLE, WA 98107 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $342 | $54 | $396 | 1.71% |
| JUDY INEZ BUCHOLTZ3 Filed as: JUDY I BUCHHOLTZ | 12517-217TH AVENUE COURT EAST BONNEY LAKE, WA 98391 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $352 | $0 | $352 | 1.52% |
| BRIAN T MURPHY LLC3 Filed as: BRIAN T. MURPHY LLC | 5002 47TH AVENUE SW SEATTLE, WA 98136 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $304 | $19 | $323 | 1.40% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $4K | $5K | 23.33% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 7.50% |
| CHRISTINE M. MCCULLUGH3 | 14715 NE 95TH STREET, SUITE 200 REDMOND, WA 98052 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 20.01% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $297 | — | $297 | 4.62% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | PO BOX 1279 GIG HARBOR, WA 98335 | VISION SERVICE PLAN | $250 | $0 | $250 | 3.89% |
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 | 130 | 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) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 91 | $621K |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 50 | $65K |
| Vision | VISION SERVICE PLAN | 59 | $6K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $20K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $20K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $20K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 91 | $621K |
| Other(5 contracts, 5 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 147 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 147 | — |
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.