| 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. | $72K | — | $72K | 3.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $12K | — | $12K | 3.50% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | KAISER FOUNDATION HEALTH PLAN, INC. | $9K | — | $9K | 3.73% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | KAISER FOUNDATION HEALTH PLAN, INC. | $9K | — | $9K | 3.71% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | DELTA DENTAL OF WASHINGTON | $8K | — | $8K | 4.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $7K | — | $7K | 3.70% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $6K | — | $6K | 3.72% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | $15K | $3K | $18K | 12.28% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $2K | $14K | 18.25% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA INC. | — | AMERITAS LIFE INSURANCE CORP | — | $3K | $3K | 6.38% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC. | — | AMERITAS LIFE INSURANCE CORP | $3K | — | $3K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON, INC. | — | WILLAMETTE DENTAL OF WASHINGTON, INC. | $2K | — | $2K | 4.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 3.33% |
| BRIAN T MURPHY LLC3 Filed as: BRIAN T MURPHY | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $498 | $21 | $519 | 1.68% |
| JOEL N NEWMAN AGENCY LLC3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $210 | $28 | $238 | 0.77% |
| CARYL ESTES3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $175 | — | $175 | 0.57% |
| CALEB ANTHONY LAW3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $161 | $5 | $166 | 0.54% |
| HR BENEFITS SERVICES, INC.3 Filed as: NW BENEFITS GROUP LLC | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | — | $65 | 0.21% |
| LAURABETH CHRISTENSEN3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | $1 | $57 | 0.19% |
| LIFE TIME SOLUTIONS LLC3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | — | $51 | 0.17% |
| WENDY SUE GERSHOW3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | — | $46 | 0.15% |
| SUSAN MAE DANIEL3 Filed as: SUSAN LEACH | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | — | $36 | 0.12% |
| TAMARA ANNE HINES3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.02% |
| COREY HULSEY3 Filed as: COREY ZINICOLA | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.02% |
| ERIC ALEXANDER NOVOA3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| DOUGLAS-MCCARTY INSURANCE SERVICES3 Filed as: DOUGLAS EDWARD VIESELMEYER | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $2K | $6K | 20.95% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $320 | $2K | 12.48% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | DENTAL HEALTH SERVICES | $164 | — | $164 | 3.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WASHINGTON INC | — | HARTFORD LIFE AND ACCIDENT | $184 | — | $184 | 15.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NAVIA BENEFIT SOLUTIONS, INC. EIN 91-1467758 FSA 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 | 370 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 370 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 259 | $3.3M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF WASHINGTON | 375 | $257K |
| Vision(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 710 | $3.1M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 460 | $146K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 160 | $29K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 370 | $76K |
| Prescription drug(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 259 | $3.3M |
| Other(4 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 470 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 710 | — |
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."
No prospect flags tripped on this filing.