| 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 4TH AVENUE, SUITE 1705 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $0 | $250 | $250 | 0.04% |
| KENNETH C. HEISER3 | 1 MARINA PARK, SUITE 1600 BOSTON, MA 02210 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 1.61% |
| KENNETH HEISER3 | 33 RIVERSIDE AVENUE RIVERSIDE, CT 06878 | METROPOLITAN LIFE INSURANCE COMPANY | $452 | — | $452 | 0.12% |
| SUZANNE M. HAZLETT3 | PO BOX 5378 KETCHUM, ID 83340 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $17K | — | $17K | 13.16% |
| ART JETTER AND COMPANY3 Filed as: ART JETTER & COMPANY | 11305 CHICAGO CIRCLE OMAHA, NE 68154 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 1.46% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 100 RIALTO PLACEN SUITE 900 MELBOURNE, FL 32901 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $512 | $512 | 6.54% |
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 | 630 | 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) | 630 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 64 | $1.2M |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 1,087 | $625K |
| Vision | VISION SERVICE PLAN | 621 | $76K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 630 | $694K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 178 | $382K |
| Long-term disability | STANDARD INSURANCE COMPANY | 630 | $683K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 64 | $1.2M |
| Other(4 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 630 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,087 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.