| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 | 1201 PACIFIC AVE #1000 TACOMA, WA 98402 | RELIASTAR LIFE INSURANCE COMPANY | $97K | $0 | $97K | 6.64% |
| PROPEL INSURANCE3 | 1201 PACIFIC AVE STE 100 TACOMA, WA 98402 | RELIASTAR LIFE INSURANCE COMPANY | $75K | $0 | $75K | 5.15% |
| PROPEL INSURANCE3 | 1201 PACIFIC AVE STE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $5K | $4K | $9K | 9.21% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE CO | $0 | $1K | $1K | 1.10% |
| PROPEL INSURANCE3 | 1201 PACIFIC AVE STE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $1K | $472 | $2K | 13.94% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE CO | $0 | $135 | $135 | 1.13% |
| PROPEL INSURANCE3 | 1201 PAFICIC AVE STE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $1K | $266 | $1K | 18.84% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE CO | $0 | $76 | $76 | 1.10% |
| PROPEL INSURANCE3 | 1201 PACIFIC AVE STE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $136 | $36 | $172 | 19.01% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 3 PARKWAY NORTH BLVD STE 500 DEERFIELD, IL 60015 | UNITED OF OMAHA LIFE INSURANCE CO | $0 | $10 | $10 | 1.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS INC EIN 91-0680697 NONE | Direct payment from the plan; Contract Administrator; Investment management Service code 13 | — | $346K |
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $183K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Insurance services; Other services; Direct payment from the plan Service code 23 | — | $47K |
| BARLOW & COUGHRAN, P.S. EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $19K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance services; Insurance brokerage commissions and fees; Insurance agents and brokers; Consulting (general); Direct payment from the plan Service code 16 | — | $19K |
| WELLS FARGO BANK EIN 94-1347393 NONE | Other services; Direct payment from the plan Service code 49 | — | $14K |
| HEALTHCARE ACTUARIES EIN 20-5718833 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $12K |
| CVS PHARMACY, INC EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $7K |
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 | 744 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 87 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 831 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF NW | 167 | $1.6M |
| Dental | DELTA DENTAL OF WASHINGTON | 1,458 | $830K |
| Life insurance(3 contracts) | UNITED OF OMAHA LIFE INSURANCE CO | 562 | $106K |
| Other(5 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 637 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,458 | — |
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.