| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1325 FOURTH AVENUE, SUITE 1705 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $0 | $580 | $580 | 0.07% |
| KENNETH C. HEISER3 | 200 CLARENDON STREET 19TH AND 25TH FLOORS BOSTON, MA 02116 | METROPOLITAN LIFE INSURANCE COMPANY | $55K | $0 | $55K | 11.09% |
| KENNETH C. HEISER3 | 33 RIVERSIDE AVENUE RIVERSIDE, CT 06878 | METROPOLITAN LIFE INSURANCE COMPANY | -$2K | $0 | -$2K | -0.40% |
| SUZANNE M. HAZLETT3 | PO BOX 5378 KETCHUM, ID 83340 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $16K | $0 | $16K | 13.50% |
| ART JETTER AND COMPANY3 | 11305 CHICAGO CIRLCE OMAHA, NE 68154 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 1.50% |
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 | 675 | 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) | 675 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | SELECTHEALTH | 371 | $3.5M |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 1,357 | $763K |
| Vision | VISION SERVICE PLAN | 673 | $104K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 675 | $1.3M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 372 | $493K |
| Long-term disability | STANDARD INSURANCE COMPANY | 675 | $807K |
| Prescription drug(4 contracts, 4 carriers) | SELECTHEALTH | 371 | $3.5M |
| Stop-loss / reinsurancereinsurance | COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | 798 | $728K |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 675 | $934K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,357 | — |
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.