No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN SERVICE INC EIN 91-1363171 NONE | Plan Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Claims processing Service code 10 | — | $1.2M |
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $947K |
| INNOVATIVE CARE MANAGEMENT, INC EIN 93-1087669 NONE | Other services; Direct payment from the plan; Insurance services Service code 23 | — | $257K |
| ENVISION PHARMACEUTICAL SERVICES EIN 90-1011712 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $215K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Consulting (general); Insurance agents and brokers Service code 16 | — | $141K |
| LEGACY LABORATORY SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 1225 NE 2ND AVE PORTLAND, OR 97232 | $94K |
| CHANGE HEALTHCARE EIN 20-5591816 NONE | Direct payment from the plan; Other services Service code 49 | — | $77K |
| FULLY EFFECTIVE EMPLOYEES, INC. EIN 91-1742034 NONE | Other services; Direct payment from the plan Service code 49 | — | $59K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Claims processing; Insurance services; Direct payment from the plan Service code 12 | — | $52K |
| SUN LIFE CAPITAL MANAGEMENT LLC EIN 68-0635051 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $42K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $25K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $24K |
| BARLOW COUGHRAN MORALES & JOSEPH PS EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $22K |
| PITNEY BOWES PRESORT SERVICES NONE | Other services; Direct payment from the plan Service code 49 | 8030 S 216TH ST KENT, WA 98032 | $18K |
| OPTUM NONE | Other services; Direct payment from the plan Service code 49 | 2771 MOMENTUM PLACE CHICAGO, IL 606 CHICAGO, IL 60689 | $17K |
| ALASKA VACCINE ASSESSMENT PROGRAM NONE | Direct payment from the plan; Other services Service code 49 | P.O. BOX 1885 CONCORD, NH 03302 | $15K |
| AMERICAN INSTITUTE FOR PREV MED NONE | Other services; Direct payment from the plan Service code 49 | 30445 NORTHWESTERN HWY., STE. 350 FARMINGTON HILLS, MI 48334 | $15K |
| U.S. BANK EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $12K |
| VERUS ADVISORY, INC EIN 91-1320111 NONE | Consulting (pension); Direct payment from the plan; Investment advisory (plan) Service code 17 | — | $12K |
| BANK OF AMERICA EIN 94-1687665 | Custodial (other than securities); Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 18 | — | $12K |
| PART D ADVISORS, INC. NONE | Direct payment from the plan; Other services Service code 49 | 7199 N LAUREL PARK DR 400 LIVONIA, MI 48152 | $8K |
| PRINT TIME NONE | Direct payment from the plan; Other services Service code 49 | 1932 9TH AVE SEATTLE, WA 98101 | $7K |
| JERMAIN DUNNAGAN & OWENS, P.C. NONE | Legal; Direct payment from the plan Service code 29 | 3000 A STREET, STE. 300 ANCHORAGE, AK 99503 | $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 | 3,319 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 792 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 662 | $3.1M |
| Vision | VISION SERVICE PLAN | 3,851 | $357K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,435 | $112K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 3,343 | $284K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 3,435 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,851 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.