| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL | 2111 E HIGHLAND AVE PHOENIX, AZ 85016 | THE UNION LIFE INSURANCE COMPANY | $31K | — | $31K | 5.02% |
| 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 | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $996K |
| COSTCO HEALTH SOLUTIONS, INC NONE | Direct payment from the plan; Claims processing Service code 12 | 999 LAKE DRIVE ISSAQUAH, WA 98027 | $520K |
| INNOVATIVE CARE MANAGEMENT, INC EIN 93-1087669 NONE | Other services; Insurance services; Direct payment from the plan Service code 23 | — | $288K |
| RAEL & LETSON EIN 94-1701048 NONE | Actuarial; Insurance agents and brokers; Consulting (general); Direct payment from the plan Service code 11 | — | $188K |
| FIRST CHOICE EIN 92-0116216 NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 94041 SEATTLE, WA 98124 | $76K |
| SIERRA INVESTMENT PARTNERS INC EIN 68-0370668 NONE | Direct payment from the plan; Investment management fees paid directly by plan; Investment management Service code 28 | PO BOX 5727 VACAVILLE, CA 95696 | $67K |
| CHANGE HEALTHCARE EIN 20-5591816 NONE | Other services; Direct payment from the plan Service code 49 | — | $56K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $52K |
| SUN LIFE CAPITAL MANAGEMENT LLC EIN 68-0635051 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $38K |
| MARSH & MCLENNAN AGENCY EIN 36-2668272 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance services Service code 22 | 501 N RIVERPOINT BLVD SPOKANE, WA 992021659 | $35K |
| 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 | $33K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Direct payment from the plan; Claims processing; Insurance services Service code 12 | — | $32K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $26K |
| ALASKA VACCINE ASSESSMENT PROGRAM NONE | Other services; Direct payment from the plan Service code 49 | P.O. BOX 1885 CONCORD, NH 03302 | $16K |
| CALPA ADVISORS LLC EIN 91-6028565 NONE | Direct payment from the plan; Investment management Service code 28 | — | $15K |
| TURNER, STOEVE & GAGLIARDI, P.S. EIN 91-1282506 NONE | Direct payment from the plan; Legal Service code 29 | — | $14K |
| PNC BANK EIN 22-1146430 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Investment management Service code 21 | — | $13K |
| VERUS ADVISORY, INC EIN 91-1320111 NONE | Investment advisory (plan); Consulting (pension); Direct payment from the plan Service code 17 | — | $13K |
| ELIXER RX SOLUTIONS EIN 90-1011712 NONE | Claims processing; Direct payment from the plan 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 | 2,865 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 629 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,494 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 610 | $3.9M |
| Vision | VISION SERVICE PLAN | 3,305 | $324K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,993 | $83K |
| Stop-loss / reinsurancereinsurance | THE UNION LIFE INSURANCE COMPANY | 2,896 | $622K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 2,993 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,305 | — |
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.