| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 | 315 MONTGOMERY ST. SUITE 900 SAN FRANCISCO, CA 94104 | HCC LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN. SERVICES EIN 91-1363171 THIRD PARTY ADMINISTRATOR | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | 2815 2ND AVENUE, 300 SEATTLE, WA 98121 | $142K |
| AETNA EIN 06-6033492 CLAIMS ADMINISTRATION | Contract Administrator Service code 13 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $73K |
| RAINIER INVESTMENT MANAGEMENT, INC. EIN 46-4242069 INVESTMENT MANAGER | Investment management Service code 28 | 601 UNION STREET, 2801 SEATTLE, WA 98101 | $43K |
| PROPEL INSURANCE EIN 91-0930024 CONSULTANT | Consulting (general) Service code 16 | 925 FOURTH AVENUE, 3200 SEATTLE, WA 98104 | $29K |
| BEECH STREET CORPORATION EIN 95-3778850 PPO | Insurance services Service code 23 | 25500 COMMERCENTRE DR. LAKE FOREST, CA 926308855 | $24K |
| PLUMBERS LOCAL UNION 375 EIN 92-0013904 PARTY TO LABOR AGREEMENT | Contract Administrator Service code 13 | 3568 GERAGHTY STREET FAIRBANKS, AK 99709 | $17K |
| MCKENZIE ROTHWELL BARLOW COUGHRAN EIN 91-0889948 LEGAL COUNSEL | Legal Service code 29 | 1325 FORTH AVENUE, SUITE SEATTLE, WA 981012573 | $16K |
| QUALIS HEALTH EIN 91-1072875 UTILIZATION REVIEW | Consulting (general) Service code 16 | PO BOX 33400 SEATTLE, WA 98133 | $14K |
| BJORKLUND AND MONTPLAISIR EIN 93-1015766 AUDITOR | Accounting (including auditing) Service code 10 | 9020 SW WASHINGTON SQ RD PORTLAND, OR 97223 | $11K |
| HEALTHCARE ACTUARIES EIN 20-5718833 ACTUARY | Actuarial Service code 11 | 16519 107TH PLACE NE BOTHELL, WA 98011 | $9K |
| US BANK NAT'L ASSOC. EIN 31-0841368 INVESTMENT CUSTODIAN | Custodial (securities) Service code 19 | 1555 N. RIVERCENTER DR. MILWAUKIE, WI 53212 | $7K |
| HCCMA EIN 94-3283661 CLAIMS REPRICING | Claims processing Service code 12 | 1577 C STREET STE 201 ANCHORAGE, AK 99501 | $6K |
| ENDEON EIN 20-5591816 CLAIMS REPRICING | Claims processing Service code 12 | 3055 LEBANON PIKE, 1000 NASHVILLE, TN 37214 | $2K |
| WISCONSINRX COOPERATIVE EIN 04-3775178 RX COOP | Claims processing Service code 12 | 195 EAST BADGER RD MADISON, WI 53713 | $0 |
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 | 411 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 491 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE | 406 | $7K |
| Short-term disability | SYMETRA LIFE INSURANCE | 406 | $7K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 461 | $766K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 461 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.