| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES,LLC | 2268 WESTBOROUGH BLVD. STE 302-328 SOUTH SAN FRANCISCO, CA 940805439 | RELIASTAR LIFE INSURANCE COMPANY | $31K | — | $31K | 7.00% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | PO BOX 2940 TACOMA, WA 98401 | HARTFORD LIFE AND ACCIDENT | — | $142 | $142 | 0.57% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN SVC, INC. EIN 91-1363171 PARTICIPATING EMPLOYER | Claims processing; Plan Administrator; Contract Administrator; Other services; Direct payment from the plan Service code 12 | — | $242K |
| PREMERA EIN 91-0499247 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $73K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $49K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance agents and brokers; Consulting (general); Direct payment from the plan Service code 16 | — | $48K |
| ZELIS CLAIM INTEGRITY NONE | Claims processing; Direct payment from the plan Service code 12 | 149 NEWBURY ST. BOSTON, MA 02116 | $30K |
| INNOVATIVE CARE MANAGEMENT NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | P O BOX 22386 PORTLAND, OR 97269 | $22K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $22K |
| WASHINGTON CAPITAL MANAGEMENT EIN 91-1042342 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $13K |
| BARLOW COUGHRAN MORALES JOSEPHSON EIN 91-0889948 PARTICIPATING EMPLOYER | Legal; Direct payment from the plan Service code 29 | — | $10K |
| BANK OF AMERICA EIN 20-5591816 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
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 | 333 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 335 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 128 | $1.1M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 340 | $25K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 340 | $25K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 258 | $447K |
| Other | HARTFORD LIFE AND ACCIDENT | 340 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.