| 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 | $18K | $0 | $18K | 5.51% |
| 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. | $5K | $0 | $5K | 4.57% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | PO BOX 1279 GIG HARBOR, WA 98335 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 10.18% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $525 | $0 | $525 | 2.46% |
| MJ INSURANCE3 Filed as: CALEB ANTHONY LAW & VARIOUS AGENTS | 19807 2ND DRIVE SE BOTHELL, WA 98012 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $251 | $0 | $251 | 1.18% |
| LAURABETH CHRISTENSEN3 | 16915 SE 272ND STREET KENT, WA 98042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $237 | $0 | $237 | 1.11% |
| NICHOLAS STEVEN WALLACE3 | 3115 ALDERWOOD AVENUE BELLINGHAM, WA 98225 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $230 | $0 | $230 | 1.08% |
| BRIAN T MURPHY LLC3 Filed as: BRIAN T. MURPHY LLC | 5002 47TH AVENUE SW SEATTLE, WA 98136 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $200 | $0 | $200 | 0.94% |
| 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 | $163 | $0 | $163 | 0.76% |
| JUDY INEZ BUCHOLTZ3 | 12517-217TH AVENUE COURT EAST BONNEY LAKE, WA 98391 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $125 | — | $125 | 0.59% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | PO BOX 1279 GIG HARBOR, WA 98335 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $934 | $0 | $934 | 5.00% |
| 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 | 13.93% |
| CHRISTINE M. MCCULLUGH3 | 14715 NE 95TH STREET, SUITE 200 REDMOND, WA 98052 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 19.99% |
| CASCADE VALLEY INSURANCE, INC.3 Filed as: CASCADE VALLEY INSURANCE INC. | PO BOX 1279 GIG HARBOR, WA 98335 | VISION SERVICE PLAN | $494 | $0 | $494 | 10.58% |
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 | 85 | $430K |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 57 | $43K |
| Vision | VISION SERVICE PLAN | 57 | $5K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $15K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $15K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $15K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 85 | $430K |
| Other(4 contracts, 4 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 130 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.