| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAEL & LETSON3 | 601 UNION ST STE 2415 SEATTLE, WA 98101 | PRINCIPAL LIFE INSURANCE CO. | $1K | $197 | $2K | 8.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 NONE | Accounting (including auditing); Investment management; Direct payment from the plan; Contract Administrator; Investment management fees paid directly by plan Service code 10 | — | $12.1M |
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $5.1M |
| ACCOLADE, INC. EIN 01-0969591 NONE | Other services; Direct payment from the plan Service code 49 | — | $2.8M |
| MEDIMPACT HEALTHCARE SYSTEMS, INC. EIN 33-0567651 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $1.2M |
| DELTA DENTAL OF WASHINGTON EIN 91-0621480 NONE | Direct payment from the plan; Insurance services; Claims processing Service code 12 | — | $1.1M |
| RAEL & LETSON EIN 94-1701048 NONE | Participant communication; Insurance agents and brokers; Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $360K |
| RENALOGIC, INC. EIN 22-3857341 NONE | Direct payment from the plan; Other services Service code 49 | — | $221K |
| REID, MCCARTHEY, BALLEW, & LEAHY EIN 91-0749971 NONE | Legal; Direct payment from the plan Service code 29 | — | $101K |
| MEDICAL REVIEW INSTITUTE OF AMERICA EIN 87-0515201 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $87K |
| WASHINGTON HEALTH ALLIANCE EIN 47-0948895 NONE | Direct payment from the plan; Other fees Service code 50 | — | $74K |
| SEYFARTH & SHAW LLP EIN 36-2152202 NONE | Legal; Direct payment from the plan Service code 29 | — | $60K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $56K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Other services; Direct payment from the plan Service code 49 | — | $51K |
| WILMINGTON TRUST EIN 16-1486454 NONE | Custodial (securities); Float revenue; Soft dollars commissions; Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $42K |
| ALAN D. BILLER & ASSOCIATES EIN 94-2854958 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $39K |
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 | 20,324 | 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) | 20,324 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 547 | $1.3M |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE CO. | 34,699 | $957K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 34,699 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.