| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 | 315 MONTGOMERY ST STE 900 SAN FRANCISCO, CA 94104 | RELIASTAR LIFE INSURANCE COMPANY | $63K | — | $63K | 4.78% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE STE 1000 TACOMA, WA 98402 | RELIASTAR LIFE INSURANCE COMPANY | $59K | — | $59K | 4.46% |
| NONE3 | — | HUMANA INSURANCE COMPANY | — | — | $0 | 0.00% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE STE 1000 TACOMA, WA 984024321 | UNITED OF OMAHA LIFE INSURANCE CO | $5K | $5K | $10K | 11.35% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE STE 1000 TACOMA, WA 98402 | UNITED OF OMAHA LIFE INSURANCE CO | $1K | $813 | $2K | 15.51% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE STE 1000 TACOMA, WA 984024321 | MUTUAL OF OMAHA INSURANCE COMPANY | $688 | — | $688 | 14.99% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, LLC | 1201 PACIFIC AVE STE 1000 TACOMA, WA 98402 | MUTUAL OF OMAHA INSURANCE COMPANY | $28 | — | $28 | 3.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS INC EIN 91-0680697 NONE | Contract Administrator; Investment management; Direct payment from the plan Service code 13 | — | $404K |
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $167K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Other services; Insurance services; Direct payment from the plan Service code 23 | — | $47K |
| AON CONSULTING, INC. EIN 22-2232264 NONE | Consulting (general); Trustee (individual); Direct payment from the plan Service code 16 | — | $22K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance agents and brokers; Insurance services; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $19K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $18K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $15K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| HEALTHCARE ACTUARIES, LLC EIN 20-5718833 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $12K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $6K |
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 | 556 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 108 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 664 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 150 | $665K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE CO | 473 | $100K |
| Other(5 contracts, 3 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 573 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 573 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.