| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 | 2268 WESTBOROUGH BLVD SAN FRANCISCO, CA 94080 | THE UNION LABOR LIFE INSURANCE COMPANY | $66K | — | $66K | 7.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUE CROSS NONE | Direct payment from the plan; Claims processing Service code 12 | PO BOX 91060 SEATTLE, WA 98111 | $510K |
| A.W. REHN & ASSOCIATES EIN 91-1008626 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 13 | — | $367K |
| INNOVATIVE CASE MANAGEMENT EIN 93-1087669 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $126K |
| OPTUM RX NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 11000 OPTUM CIRCLE EDEN PRARIE, MN 55344 | $52K |
| TURNER, STOEVE, AND GAGLIARDI EIN 91-1282506 NONE | Legal; Direct payment from the plan Service code 29 | — | $43K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance agents and brokers; Direct payment from the plan; Consulting (general) Service code 16 | — | $34K |
| WASHINGTON TRUST BANK NONE | Direct payment from the plan; Custodial (securities) Service code 19 | PO BOX 2127 SPOKANE, WA 99210 | $22K |
| WITHUM SMITH & BROWN NONE | Consulting (general); Direct payment from the plan Service code 16 | 800 NICOLLETT MALL, SUITE 1300 MINNEAPOLIS, MN 554027033 | $22K |
| CLIFTONLARSONALLEN, LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $21K |
| GREEN LIGHT NONE | Direct payment from the plan; Claims processing Service code 12 | 17015 NORTH SCOTTSDALE ROAD, SUITE 350 SCOTTSDALE, AZ 85255 | $14K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149014 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $8K |
| VERSUS EIN 91-1320111 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $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 | 1,760 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,769 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL OF WASHINGTON,INC. | 351 | $140K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,753 | $941K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,753 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.