| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASCADE VALLEY INSURANCE, INC.3 | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $23K | $0 | $23K | 5.01% |
| CASCADE VALLEY INSURANCE, INC.3 | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $7K | $0 | $7K | 4.61% |
| CASCADE VALLEY INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | STANDARD INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| CASCADE VALLEY INSURANCE, INC.3 | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | WILLAMETTE DENTAL OF WASHINGTON, INC. | $1K | $0 | $1K | 5.00% |
| CASCADE VALLEY INSURANCE, INC.3 | 2727 HOLLYCROFT STREET NW SUITE 390 GIG HARBOR, WA 98335 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 13.84% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 200 GALLERIA PARKWAY ATLANTA, GA 30339 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $356 | $0 | $356 | 2.48% |
| NICHOLAS STEVEN WALLACE3 | 19200 14TH LANE NW SHORELINE, WA 98177 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $160 | $0 | $160 | 1.11% |
| LAURABETH CHRISTENSEN3 | 16915 SE 272ND STREET KENT, WA 98042 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $153 | $0 | $153 | 1.07% |
| BRIAN T MURPHY LLC3 Filed as: BRIAN T. MURPHY, LLC | 5002 47TH AVENUE SW SEATTLE, WA 98136 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $134 | $0 | $134 | 0.93% |
| 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 | $109 | $0 | $109 | 0.76% |
| JUDY INEZ BUCHOLTZ3 Filed as: JUDY INEZ BUCHOLTZ AND OTHER AGENTS | 12517 217TH AVENUE COURT EAST BONNEY LAKE, WA 98391 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $75 | $0 | $75 | 0.52% |
| CALEB ANTHONY LAW3 | 19807 2ND DRIVE SE BOTHELL, WA 98012 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $69 | $0 | $69 | 0.48% |
| CHRISTINE M. MCCULLUGH3 | 14715 NE 95TH STREET, SUITE 200 REDMOND, WA 98052 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 18.90% |
| CASCADE VALLEY INSURANCE, INC.3 | PO BOX 1279 GIG HARBOR, WA 98335 | VISION SERVICE PLAN | $535 | $0 | $535 | 8.97% |
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 | 78 | $599K |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 57 | $64K |
| Vision | VISION SERVICE PLAN | 58 | $6K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $19K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $19K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $19K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 78 | $599K |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 130 | $46K |
| 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.