| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | GROUP HEALTH OPTIONS, INC. | $53K | — | $53K | 3.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON-TACOMA | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | LIFEMAP ASSURANCE COMPANY | $15K | — | $15K | 7.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | GROUP HEALTH COOPERATIVE | $7K | — | $7K | 3.89% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | DELTA DENTAL OF WASHINGTON | $7K | — | $7K | 4.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | KAISER FOUNDATION HEALTH PLAN, INC. | $4K | — | $4K | 3.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC. | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $3K | $300 | $3K | 7.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | HARTFORD LIFE AND ACCIDENT | $184 | — | $184 | 15.01% |
No Schedule C service providers reported on this filing.
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 | 261 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 261 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | GROUP HEALTH OPTIONS, INC. | 191 | $1.7M |
| Dental | DELTA DENTAL OF WASHINGTON | 298 | $170K |
| Vision | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 12 | $45K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 261 | $205K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 261 | $205K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 261 | $205K |
| Prescription drug(3 contracts, 3 carriers) | GROUP HEALTH OPTIONS, INC. | 191 | $1.6M |
| Other(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 261 | $206K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.