| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | $64K | — | $64K | 3.69% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $17K | — | $17K | 4.43% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | KAISER FOUNDATION HEALTH PLAN, INC. | $11K | — | $11K | 3.92% |
| 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 | 3.91% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | — | $5K | 3.33% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 2106 PACIFIC AVENUE SUITE 501 TACOMA, WA 98402 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 2106 PACIFIC AVENUE SUITE 501 TACOMA, WA 98402 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 14.36% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 1501 4TH AVENUE SUITE 2400 SEATTLE, WA 98101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | — | $9K | 14.61% |
| JOEL N NEWMAN AGENCY LLC3 | 12360 LAKE CITY WAY NE SEATTLE, WA 98125 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 6.56% |
| BRIAN T MURPHY LLC3 | 5002 47TH AVE SW SEATTLE, WA 98136 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $733 | $3K | 4.54% |
| CALEB ANTHONY LAW3 | 19807 2ND DRIVE SE BOTHELL, WA 98012 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $886 | $717 | $2K | 2.70% |
| LAURA MCCLUNG PLYLER3 Filed as: LAURA CRADDOCK | 6820 COAL CREEK PARKWAY SE NEW CASTLE, WA 98059 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $206 | $2K | 2.59% |
| LAURABETH CHRISTENSEN3 | 19807 2ND DRIVE SE BOTHELL, WA 98012 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $662 | $859 | $2K | 2.56% |
| CARYL ESTES3 | 15907 ASH WAY LYNNWOOD, WA 98087 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $136 | $1K | 2.47% |
| KATHLEEN BYRNE3 Filed as: KATHLEEN COLLINS | 1717 SW HENDERSON STREET SEATTLE, WA 98106 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $103 | $1K | 2.27% |
| COREY HULSEY3 Filed as: COREY ZINICOLA | 4717 200TH ST SW LYNNWOOD, WA 98036 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $193 | $1K | 2.10% |
| HR BENEFITS SERVICES, INC.3 Filed as: NW BENEFITS GROUP LLC | 3104 MCCALLISTER STREET DUPONT, WA 98327 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $792 | $93 | $885 | 1.49% |
| DANIEL PAEK3 | 1709 SOUTH 87TH STREET TACOMA, WA 98444 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $633 | $251 | $884 | 1.49% |
| LIFE TIME SOLUTIONS LLC3 | 861 KENWOOD STREET UPLAND, CA 91784 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $466 | $157 | $623 | 1.05% |
| MIGUEL NIGENDA3 | 10420 24TH ST SE LAKE STEVENS, WA 98258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $606 | — | $606 | 1.02% |
| WENDY DAWN PACK3 Filed as: WENDY GERSHOW | 3217 STAR AVE OAKLAND, CA 94619 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $563 | $9 | $572 | 0.96% |
| SUSAN MAE DANIEL3 Filed as: SUSAN LEACH | 4419 NE 131ST PLACE PORTLAND, OR 97230 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $490 | $66 | $556 | 0.94% |
| BEVERLY BERGTHOLD3 | 1043 NORMINGTON WAY SAN JOSE, CA 95136 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $240 | $4 | $244 | 0.41% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS INC. | 112 NW 114TH ST VANCOUVER, WA 98685 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $78 | $96 | $174 | 0.29% |
| JOHN D EVANGELISTA3 | 26111 ANTONIO PARKWAY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | $53 | $119 | 0.20% |
| TAMARA ANNE HINES3 Filed as: TAMARA ANNE WATSON | 1119 TULE DRIVE RENO, NV 89521 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $97 | $8 | $105 | 0.18% |
| KEVIN FITZGERALD HOWARD3 | 561 BODEN WAY APT 3B OAKLAND, CA 94610 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $82 | $11 | $93 | 0.16% |
| CHRISTOPHER ROBERT BERRY3 Filed as: CHRISTOPHER BERRY | 20110 75TH AVE W LYNNWOOD, WA 98036 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $33 | $72 | 0.12% |
| CATHERINE LISA LUKE3 | 4787 W HACIENDA AVE CAMPBELL, CA 95008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | $18 | $51 | 0.09% |
| ERIC ALEXANDER NOVOA3 | 17871 SHADY VIEW DRIVE CHINO HILLS, CA 91709 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | $7 | $50 | 0.08% |
| PROGRESSIONS INC3 | 950 UNIVERSITY PARK LOOP N RENO, NV 89512 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $11 | $27 | 0.05% |
| CONSUMER DRIVEN BENEFITS LLC3 | 3737 BIRCH ST NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $9 | $13 | 0.02% |
| MICHAEL JAMES LEBRANE3 | 808 EAST 5TH AVE SAN MATEO, CA 94402 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| TINA HERNANDEZ3 | 11779 W COCOPAH ST AVONDALE, AZ 85323 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $1 | $5 | 0.01% |
| RANDALL TILLMEN WOLFE3 | PO BOX 395 HANSVILLE, WA 98340 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 2106 PACIFIC AVENUE SUITE 501 TACOMA, WA 98402 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 16.43% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC. | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | AMERITAS LIFE INSURANCE CORP | $2K | — | $2K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC. | 3520 THOMASVILLE RD SUITE 500 TALLAHASSEE, FL 32309 | AMERITAS LIFE INSURANCE CORP | $409 | — | $409 | 1.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA, INC. | — | WILLAMETTE DENTAL GROUP | $993 | — | $993 | 4.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON | 2106 PACIFIC AVE SUITE 501 TACOMA, WA 98402 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $761 | — | $761 | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | DENTAL HEALTH SERVICES | $137 | — | $137 | 3.99% |
| 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 | 14.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NAVIA BENEFIT SOLUTIONS, INC. EIN 91-1467758 FSA ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $8K |
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 | 322 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 322 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 225 | $2.5M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 347 | $210K |
| Vision(5 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 708 | $2.6M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 449 | $92K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 162 | $46K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 363 | $61K |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 225 | $2.5M |
| Other(4 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 449 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 708 | — |
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.