| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL | 2111 E HIGHLAND AVE PHOENIX, AZ 85016 | THE UNION LIFE INSURANCE COMPANY | $29K | — | $29K | 4.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN SERVICE INC EIN 91-1363171 NONE | Plan Administrator; Accounting (including auditing); Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 10 | — | $1.6M |
| PREMERA BLUE CROSS EIN 91-0499247 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $942K |
| INNOVATIVE CARE MANAGEMENT, INC EIN 93-1087669 NONE | Direct payment from the plan; Insurance services; Other services Service code 23 | — | $327K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Insurance agents and brokers; Consulting (general); Actuarial Service code 11 | — | $174K |
| ELIXER RX SOLUTIONS EIN 90-1011712 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $102K |
| FIRST CHOICE EIN 92-0116216 NONE | Direct payment from the plan; Other services Service code 49 | PO BOX 94041 SEATTLE, WA 98124 | $72K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $54K |
| LEGACY LABORATORY SERVICES EIN 26-3597257 NONE | Direct payment from the plan; Other services Service code 49 | 1225 NE 2ND AVE PORTLAND, OR 97232 | $48K |
| SIERRA INVESTMENT PARTNERS INC EIN 68-0370668 NONE | Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | PO BOX 5727 VACAVILLE, CA 95696 | $45K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Insurance services; Direct payment from the plan; Claims processing Service code 12 | — | $42K |
| CHANGE HEALTHCARE EIN 20-5591816 NONE | Other services; Direct payment from the plan Service code 49 | — | $39K |
| SUN LIFE CAPITAL MANAGEMENT LLC EIN 68-0635051 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $39K |
| LABORATORY CORP OF AMERICA EIN 13-3757370 NONE | Direct payment from the plan; Other services Service code 49 | 531 S SPRING STREET BURLINGTON, NC 27215 | $32K |
| MARSH & MCLENNAN AGENCY EIN 36-2668272 NONE | Direct payment from the plan; Insurance services; Insurance agents and brokers Service code 22 | 501 N RIVERPOINT BLVD SPOKANE, WA 992021659 | $30K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $22K |
| ALASKA VACCINE ASSESSMENT PROGRAM NONE | Other services; Direct payment from the plan Service code 49 | P.O. BOX 1885 CONCORD, NH 03302 | $21K |
| 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 | $16K |
| VERUS ADVISORY, INC EIN 91-1320111 NONE | Investment advisory (plan); Direct payment from the plan; Consulting (pension) Service code 17 | — | $13K |
| U.S. BANK EIN 31-0841368 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $12K |
| NORTHRIM BANK EIN 92-0134436 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | 3111 C STREET ANCHORAGE, AK 99503 | $8K |
| BANK OF AMERICA EIN 94-1687665 NONE | Custodial (other than securities); Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 18 | — | $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 | 3,021 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 663 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,684 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 643 | $3.9M |
| Vision | VISION SERVICE PLAN | 3,475 | $341K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,082 | $105K |
| Stop-loss / reinsurancereinsurance | THE UNION LIFE INSURANCE COMPANY | 2,999 | $573K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 3,082 | $105K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,475 | — |
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.