| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 10088 YAKIMA, WA 98909 | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA CORPORATION | — | $127K | $127K | 2.90% |
| BLUE CROSS BLUE SHIELD OF FLORIDA5 Filed as: PREMERA BLUE CROSS BLUE SHEILD | JL TOWER 3800 CENTERPOINT DR ANCHORAGE, AK 99503 | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA CORPORATION | — | $60K | $60K | 1.38% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 10088 YAKIMA, WA 98909 | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA CORPORATION | — | $23K | $23K | 0.52% |
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE SERVICES, LLC | PO BOX 10088 YAKIMA, WA 98909 | HARTFORD LIFE AND ACCIDENT | $59K | — | $59K | 9.46% |
| THE CAPITAL GROUP LLC3 Filed as: THE CAPITAL GROUP | 6720 S ROCKLEDGE DRIVE STE 400 BETHESDA, MD 20817 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $12K | — | $12K | 8.89% |
| CONONVER INSURANCE INC3 | PO BOX 10088 YAKIMA, WA 98909 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 14.93% |
| CONOVER INSURANCE SERVICES LLC3 | 3911 CASTLEVALE RD STE 201 YAKIMA, WA 98902 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1 | $1 | 0.01% |
| VERDE SERVICES, INC.5 | PO BOX 10088 YAKIMA, WA 98909 | VERDE SERVICES, INC. | — | $8K | $8K | — |
| AMERITAS LIFE INSURANCE CORP5 | PO BOX 81889 LINCOLN, NE 68501 | AMERITAS LIFE INSURANCE CORP | — | $51K | $51K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PREMERA BLUE CROSS BLUE SHEILD EIN 91-0499247 THIRD PARTY ADMIN | Claims processing; Plan Administrator Service code 12 | JL TOWER 3800 CENTERPOINT DR ANCHORAGE, AK 99503 | $60K |
| AMERITAS EIN 47-0098400 THIRD PARTY ADMIN | Plan Administrator; Claims processing Service code 12 | PO BOX 81889 LINCOLN, NE 685011889 | $51K |
| CONOVER INSURANCE SERVICES LLC PRODUCER | Insurance agents and brokers Service code 22 | PO BOX 10088 YAKIMA, WA 98909 | $0 |
| VERDE SERVICES, INC. EIN 88-0380516 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | PO BOX 10088 YAKIMA, WA 98909 | $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 | 1,001 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,001 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA CORPORATION | 544 | $4.5M |
| Dental(4 contracts, 4 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 778 | $185K |
| Vision(2 contracts, 2 carriers) | MERITAIN HEALTH | 778 | $70K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,001 | $626K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 1,001 | $626K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 1,001 | $633K |
| Prescription drug(3 contracts, 3 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 9 | $215K |
| Stop-loss / reinsurancereinsurance | LIFEWISE ASSURANCE COMPANY | 544 | $720K |
| Other(2 contracts, 2 carriers) | DELAWARE AMERICAN LIFE INSURANCE COMPANY | 140 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,001 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.