| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 2158 RIVERSIDE, CA 92516 | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | $37K | $1K | $39K | 2.68% |
| ACRISURE LLC3 Filed as: ACRISURE NORTHWEST PARTNERS INS. | 19401 40TH AVENUE WEST, SUITE 440 LYNNWOOD, WA 98036 | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | $18K | $2K | $20K | 1.41% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA RISQ | 582 EAST 36TH AVENUE, SUITE 300 ANCHORAGE, AK 99503 | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | $17K | $2K | $18K | 1.28% |
| ANGELA MAY RAMIREZ3 | 850 NORTH WESGLENN CIRCLE, SUITE 1 WASILLA, AK 99654 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 8.63% |
| ACRISURE LLC3 | 582 EAST 36TH AVENUE, SUITE 300 ANCHORAGE, AK 99503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 7.93% |
| PAMELA WHITFIELD3 | 646 A AKOAKOA STREET KAILUA, HI 96734 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.25% |
| MEGAN ELIZABETH CASTO3 | 10340 CARNEY DRIVE SE OLYMPIA, WA 98501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $634 | $268 | $902 | 2.00% |
| FRANK THOMAS BAILEY3 Filed as: FRANK T. BAILEY AND OTHER AGENTS | 3630 LOC SAULT AVENUE ANCHORAGE, AK 99516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $454 | $376 | $830 | 1.84% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | 3180 PEGER ROAD FAIRBANKS, AK 99709 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $701 | $0 | $701 | 1.56% |
| ZCHAREE KEITH SIAHPUSH3 | 33 SE 71ST AVENUE PORTLAND, OR 97215 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $414 | $20 | $434 | 0.96% |
| PEAK1 ADMINISTRATION3 | UNKNOWN NOME, AK 99762 | VSP | $856 | $0 | $856 | 14.33% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | UNKNOWN NOME, AK 99762 | VSP | $378 | $0 | $378 | 6.33% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWESRN LLC | UNKNOWN NOME, AK 99762 | VSP | $219 | $0 | $219 | 3.67% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | UNKNOWN NOME, AK 99762 | FIRST CHOICE HEALTH PLAN | $258 | $0 | $258 | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWESRN LLC | UNKNOWN NOME, AK 99762 | FIRST CHOICE HEALTH PLAN | $215 | $0 | $215 | 4.17% |
No Schedule C service providers reported on this filing.
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 | 170 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | 198 | $1.4M |
| Dental | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | 198 | $1.4M |
| Vision(2 contracts, 2 carriers) | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | 198 | $1.4M |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 36 | $45K |
| Prescription drug | PREMERA BLUE CROSS BLUE SHIELD OF ALASKA | 198 | $1.4M |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 170 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.