| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT ADMINISTRATION COMPANY LLC3 | 601 UNION ST. STE 1450 SEATTLE, WA 98101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 12.54% |
| BENEFIT ADMINISTRATION COMPANY LLC3 | 601 UNION ST, SUITE 1450 SEATTLE, WA 98101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 16.18% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SUN LIFE OF CANADA EIN 38-1082080 NONE | Insurance services Service code 23 | ONE SUN LIFE EXECUTIVE PARK WELLESLEY HILLS, MA 024815699 | $175K |
| HEALTHCARE MANAGEMENT ADMINISTRATOR EIN 91-1333840 NONE | Contract Administrator Service code 13 | P.O. BOX 85016 BELLEVUE, WA 98015 | $50K |
| BENEFIT ADMINISTRATION COMPANY EIN 91-1999591 NONE | Insurance agents and brokers Service code 22 | P.O. BOX 550 SEATTLE, WA 981110550 | $16K |
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 | 120 | 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) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 81 | $17K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 64 | $34K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 64 | $34K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 109 | $175K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 120 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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."
No prospect flags tripped on this filing.