| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAEL & LETSON Filed as: RAEL AND LETSON | 601 UNION ST STE 2415 SEATTLE, WA 98101 | LIFEMAP ASSURANCE COMPANY | $20K | — | $20K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST CARPENTERS TRUST RELATED TRUST | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 2200 6TH AVE STE 300 SEATTLE, WA 98121 | $2.3M |
| EXPRESS SCRIPTS INC EIN 43-1420563 NONE | Other services; Direct payment from the plan Service code 49 | — | $959K |
| CLISE PROPERTIES EIN 91-6024838 NONE | Direct payment from the plan; Other services Service code 49 | — | $373K |
| WELLINGTON MANAGEMENT COMPANY EIN 04-2683227 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Direct payment from the plan Service code 50 | — | $258K |
| CARPENTERS SERVICES ADMIN CORP EIN 95-6042873 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $212K |
| FIRST CHOICE HEALTH CENTERS INC. EIN 06-1416492 NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $212K |
| BASYS EIN 52-1796473 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $200K |
| RAEL & LETSON EIN 94-1701048 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $184K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal Service code 29 | — | $179K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $137K |
| ANASTASI MOORE & MARTIN PLLC EIN 20-8149084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $111K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $93K |
| SERVICE PRINTING NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 11960 OAK CREEK PKWY HUNTLEY, IL 60142 | $92K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $91K |
| US BANK, NA EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan; Other fees; Investment management Service code 19 | — | $78K |
| SHANLEY A PROFESSIONAL CORP. EIN 87-3029070 NONE | Legal; Direct payment from the plan Service code 29 | — | $56K |
| ALLSTREAM EIN 43-1656187 NONE | Direct payment from the plan Service code 50 | — | $54K |
| ALAN D BILLER ASSOC EIN 94-2854958 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $50K |
| ACCESS EIN 95-2853624 NONE | Other services; Direct payment from the plan Service code 49 | — | $50K |
| PITNEY BOWES PURCHASE POWER EIN 84-1386389 NONE | Direct payment from the plan; Other services Service code 49 | — | $48K |
| PMA DIRECT MARKETING EIN 91-1226547 NONE | Other services; Direct payment from the plan Service code 49 | — | $43K |
| NORTHERN TRUST EIN 36-1561860 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $37K |
| AGILITY RECOVERY EIN 03-0464184 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $28K |
| ADEPT HRM SOLUTIONS EIN 27-1557017 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $27K |
| MULTIEMPLOYER.COM EIN 94-3378692 NONE | Direct payment from the plan; Other services Service code 49 | — | $25K |
| PUBLISHER'S MAILING SVC EIN 91-1928931 NONE | Other services; Direct payment from the plan Service code 49 | — | $24K |
| IMPERIAL PARKING EIN 31-1537375 NONE | Direct payment from the plan; Other services Service code 49 | — | $23K |
| SILVERSKY EIN 06-1600222 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $21K |
| SWK TECHNOLOGY NONE | Direct payment from the plan; Consulting (general) Service code 16 | 5 REGENT ST STE 520 LIVINGSTON, NJ 07039 | $19K |
| ZONES EIN 91-1431894 NONE | Direct payment from the plan; Other services Service code 49 | — | $18K |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $16K |
| ADP INC EIN 22-1467904 NONE | Direct payment from the plan; Other services Service code 49 | — | $16K |
| GENERAL LOGISTICS SYSTEMS US, INC. EIN 92-0477941 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| WAGNER LAW GROUP EIN 04-3323315 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| MCGANN KETTERMAN & RIOUX EIN 36-6513567 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| CASSANDRA DAHM EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 2200 6TH AVE STE 300 SEATTLE, WA 98121 | $12K |
| HEARTLAND DATA MANAGEMENT EIN 20-3786290 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $11K |
| POT O' GOLD COFFEE SERVICE NONE | Other services; Direct payment from the plan Service code 49 | 13205 SE 30TH ST SUITE 104 BELLEVUE, WA 98005 | $6K |
| COMPLETE OFFICE NONE | Other services Service code 49 | 11521 E MARGINAL WAY S STE 100 SEATTLE, WA 98168 | $5K |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDAITON HEALTH PLAN OF THE NORTHWEST | 0 | $14.5M |
| Dental(2 contracts) | DELTA DENTAL | 0 | $15.9M |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 15,434 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,434 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.