Filings through .
History & trajectory Charts need 2 or more years. This plan has 5 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Health | Health | |
Health | Health | |
DentalVision | DentalVision | |
Life | Life | |
Broker: CLG Employer Resources LLC Life | Life | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 23 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 4,156 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,173 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(19 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 8,514,600 | $14.0M |
| Dental(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORPORATION | 3,656 | $1.1M |
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 3,656 | $1.1M |
| Life insurance(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 1,215 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,514,600 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Provident Life and Accident Insurance Company | |
Carrier: Provident Life and Accident Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| VIMLY BENEFIT SOLUTIONS EIN 91-1603312 NONE | Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $485K |
| CLG EMPLOYER RESOURCES EIN 27-4743785 NONE | Insurance agents and brokers; Direct payment from the plan; Consulting (general); Insurance brokerage commissions and fees Service code 16 | — | $438K |
| TOTAL BENEFIT SOLUTIONS, LLC NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers; Consulting (general) Service code 16 | 155 108TH AVE NE SUITE 800 BELLEVUE, WA 98004 | $437K |
| WA HOSPITALITY ASSOCIATION EIN 91-0586362 PARTICIPATING EMPLOYER | Contract Administrator; Direct payment from the plan Service code 13 | — | $109K |
| PARKER, SMITH & FEEK, LLC NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 2233 112TH AVE NE BELLEVUE, WA 98004 | $61K |
| ACRISURE NW PARTNERS INSURANCE SERV NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | $47K |
| ASSURED PARTNERS OF WA, LLC EIN 38-3942963 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $44K |
| ESSENTIAL BENEFITS LLC EIN 45-5125484 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $43K |
| TELADOC HEALTH EIN 04-3705970 NONE | Direct payment from the plan; Other services Service code 49 | — | $42K |
| COMPSYCH EIN 36-3739783 NONE | Other services; Direct payment from the plan Service code 49 | — | $41K |
| CAPITAL BENEFITS GROUP, LLC CONSULTANT/BROKER | Consulting (general); Insurance agents and brokers Service code 16 | 601 UNION STREET SUITE 3015 SEATTLE, WA 98101 | $34K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $25K |
| HUB INTERNATIONAL NORTHWEST LLC NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | PO BOX 3018 BOTHELL, WA 98041 | $14K |
| MADDOCK & ASSOCIATES LLC EIN 91-1280409 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $13K |
| BARLOW COUGHRAN MORALES & JOSEPHERS NONE | Legal; Direct payment from the plan Service code 29 | 1325 4TH AVE SEATTLE, WA 98101 | $12K |
| MARK DANIEL HOWELL NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | 12400 COIT RD STE 1250 DALLAS, TX 75251 | $12K |
| PAYCHECX INSURANCE AGENCY, INC EIN 16-1528391 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $12K |
| CUMMINGS FRASER & ASSOCIATES CONSULTANT/BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 3201 1ST AVE S STE 108 SEATTLE, WA 98134 | $9K |
| MUTUAL BENEFITS INC NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | 1737 NW 56TH ST STE 102 SEATTLE, WA 98107 | $8K |
| BTG AND ASSOCIATES LLC CONSULTANT/BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 345 118TH AVE SE STE 210 BELLEVUE, WA 98005 | $8K |
| ROBERT BEHRENS INC CONSULTANT/BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 12345 LAKE CITY WAY NE #208 SEATTLE, WA 98125 | $6K |
| VENTURE LIFE & HEALTH INC. CONSULTANT/BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 2811 FAIRVIEW AVE E SUITE 1001 SEATTLE, WA 98102 | $6K |
| VANCO NONE | Direct payment from the plan; Other services Service code 49 | 5600 AMERICAN BLVD W STE 739 BLOOMINGTON, MA 55437 | $6K |
| PAYNEWEST INS, CONSULTANT/BROKER | Consulting (general); Insurance agents and brokers Service code 16 | PO BOX 4386 MISSOULA, MT 59806 | $6K |
| LARSEN CHRISTOPHERSON BENEFITS CONSULTANT/BROKER | Consulting (general); Insurance agents and brokers Service code 16 | 2008 123RD AVE NE LAKE STEVENS, WA 98258 | $6K |
| KRITIN MANWARING INS ASSOC. INC, CONSULTANT/BROKER | Insurance agents and brokers; Consulting (general) Service code 16 | 2300 SOUTH PARK AVE PORT TOWNSEND, WA 98368 | $6K |
| WHITFIELDS UNITED INSURANCE CONSULTANT/BROKER | Consulting (general); Insurance agents and brokers Service code 16 | PO BOX 65770 UNIVERSITY PLACE, WA 98464 | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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5 filings · 2021 to 2025