No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $2.2M |
| EPLAN LLC EIN 20-3720767 NONE | Other services; Direct payment from the plan Service code 49 | — | $793K |
| EMPLOYEE 46 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $631K |
| WELLINGTON MANAGEMENT COMPANY EIN 04-2683227 NONE | Direct payment from the plan; Soft dollars commissions; Investment management fees paid directly by plan Service code 50 | — | $564K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $533K |
| EXPRESS SCRIPTS,INC. EIN 22-3461740 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $399K |
| CLISE AGENCY EIN 91-6024838 NONE | Direct payment from the plan; Other services Service code 49 | — | $357K |
| EMPLOYEE 01 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $226K |
| BASYS EIN 52-1796473 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $204K |
| EMPLOYEE 02 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $187K |
| EMPLOYEE 03 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $183K |
| HEALTH CARE COST MAINTENANCE NONE | Consulting (general); Direct payment from the plan Service code 16 | 3000 A ST STE 300 ANCHORAGE, AK 99503 | $173K |
| EMPLOYEE 09 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $167K |
| EMPLOYEE 06 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $166K |
| EMPLOYEE 04 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $165K |
| MCKENZIE ROTHWELL BARLOW & COUGRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $164K |
| EMPLOYEE 07 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $160K |
| EMPLOYEE 13 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $149K |
| CHANGE HEALTHCARE NONE | Other services; Copying and duplicating Service code 36 | PO BOX 572490 MURRAY, UT 84157 | $146K |
| EMPLOYEE 12 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $143K |
| EMPLOYEE 16 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $139K |
| ANASTASI MOORE & MARTIN PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $131K |
| EMPLOYEE 05 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $129K |
| EMPLOYEE 14 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $125K |
| EMPLOYEE 35 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $124K |
| EMPLOYEE 19 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $123K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $118K |
| EMPLOYEE 15 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $116K |
| EMPLOYEE 08 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $116K |
| EMPLOYEE 29 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| EMPLOYEE 34 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $106K |
| EMPLOYEE 11 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $98K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $96K |
| EMPLOYEE 24 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $92K |
| EMPLOYEE 30 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $91K |
| EMPLOYEE 39 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $90K |
| EMPLOYEE 38 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| EMPLOYEE 31 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $80K |
| EMPLOYEE 26 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| EMPLOYEE 17 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| EMPLOYEE 33 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| EMPLOYEE 36 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| EMPLOYEE 32 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $79K |
| EMPLOYEE 21 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| EMPLOYEE 22 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| EMPLOYEE 28 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $75K |
| EMPLOYEE 27 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| EMPLOYEE 25 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| EMPLOYEE 47 EIN 91-6029049 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| EMPLOYEE 20 EIN 91-6029049 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
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 | 10,453 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,688 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 12,141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE OF WASHINGTON INC. | 29 | $175K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 10,788 | $738K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 10,788 | $738K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,788 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.