| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARKER SMITH & FEEK INC.3 Filed as: PARKER SMITH & FEEK INC | 2233 112TH AVE NE BELLEVUE, WA 98004 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $26K | $26K | 3.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS, INC. EIN 52-1590516 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $170K |
| AETNA NONE | Direct payment from the plan; Claims processing Service code 12 | 151 FARMINGTON AVENUE HARTFORD, CT 06156 | $122K |
| PARKER SMITH & FEEK NONE | Insurance agents and brokers; Direct payment from the plan Service code 22 | 2233 112TH AVE BELLEVUE, WA 98004 | $80K |
| HEALTH CARE COST MANAGEMENT CORP EIN 94-3283661 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $49K |
| BRIDGEHEALTH MEDICAL INC EIN 26-0804648 NONE | Direct payment from the plan; Other services Service code 49 | — | $40K |
| LAW OFFICE OF MARY STOLL EIN 91-0730364 NONE | Legal; Direct payment from the plan Service code 29 | — | $38K |
| US BANK EIN 31-0841368 NONE | Custodial (securities); Custodial (other than securities); Direct payment from the plan Service code 18 | — | $35K |
| RENALOGIC NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | 22601 N 19TH AVE PHOENIX, AZ 85027 | $23K |
| ANASTASI, MOORE & MARTIN, PLLC EIN 20-8149084 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $22K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| ALASKA USA INSURANCE EIN 91-1014997 NONE | Insurance agents and brokers; Direct payment from the plan; Consulting (general); Insurance services Service code 16 | — | $7K |
| WPAS INC EIN 91-1363171 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Plan Administrator; Accounting (including auditing); Claims processing Service code 10 | — | $6K |
| WILLIS OF WISCONSIN INC EIN 39-0765647 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $5K |
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 | 533 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 25 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 558 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 536 | $9K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 567 | $712K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 536 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 567 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.