| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONSTOP ADMINISTRATION & INSURANCE3 | 1800 SUTTER STREET, #730 CONCORD, CA 94520 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $40K | — | $40K | 0.74% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | 601 UNION STREET, #1000 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $13K | $2K | $15K | 0.28% |
| USI INSURANCE SERVICES LLC3 Filed as: USI NORTHEAST, INC. | 555 PLEASANTVILLE ROAD BRIARCLIFF MANOR, NY 10510 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 5.77% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 94520 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 2.01% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | USI NORTHWEST REGION P. O. BOX 62949 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $880 | — | $880 | 0.55% |
| USI INSURANCE SERVICES LLC3 Filed as: USI NORTHEAST, INC. | 555 PLEASANTVILLE ROAD BRIARCLIFF MANOR, NY 10510 | STANDARD INSURANCE COMPANY | $8K | — | $8K | 5.93% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 94520 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 2.01% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | USI NORTHWEST REGION P. O. BOX 62949 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 0.84% |
| USI INSURANCE SERVICES LLC3 Filed as: USI NORTHEAST, INC. | 555 PLEASANTVILLE ROAD BRIARCLIFF MANOR, NY 10510 | STANDARD INSURANCE COMPANY | $6K | — | $6K | 6.39% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 94520 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 4.02% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | USI NORTHWEST REGION P. O. BOX 62949 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $491 | — | $491 | 0.53% |
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 | 958 | 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) | 958 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 898 | $5.4M |
| Vision(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 747 | $180K |
| Life insurance | STANDARD INSURANCE COMPANY | 958 | $159K |
| Short-term disability | STANDARD INSURANCE COMPANY | 747 | $139K |
| Long-term disability | STANDARD INSURANCE COMPANY | 747 | $93K |
| Other | CASCADE CENTERS, INC. | 638 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 958 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.