| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 975 OAK STREET, SUITE 900 EUGENE, OR 97401 | PACIFICSOURCE HEALTH PLANS | $30K | — | $30K | 2.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 975 OAK STREET, SUITE 900 EUGENE, OR 97401 | PACIFICSOURCE HEALTH PLANS | $2K | — | $2K | 2.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 7001 220TH STREET SW MOUNTLAKE TERRACE, WA 98043 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.39% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE AND PRENTICE HOLDING COMPANY | 601 UNION STREET, SUITE 1000 TWO UNION SQUARE SEATTLE, WA 98101 | METROPOLITAN LIFE INSURANCE COMPANY | $513 | $134 | $647 | 3.96% |
| CONNEXION INSURANCE SOLUTIONS3 Filed as: CONNEXION INSURANCE SOLUTIONS, INC. | 7001 220TH STREET SW, SUITE 320 MOUNTLAKE TERRACE, WA 98043 | METROPOLITAN LIFE INSURANCE COMPANY | $605 | $15 | $620 | 3.79% |
| CONEXXION INSURANCE SOLUTIONS3 Filed as: CONNESION INSURANCE SOLUTIONS, INC. | PO BOX 34115 SEATTLE, WA 98124 | METROPOLITAN LIFE INSURANCE COMPANY | — | $404 | $404 | 2.47% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: KIBBLES AND PRENTICE | 7001 220TH STREET SW STOP 320 MOUNTLAKE TERRACE, WA 98043 | METROPOLITAN LIFE INSURANCE COMPANY | $396 | — | $396 | 2.42% |
| WELLS FARGO INSURANCE SERVICES3 | 1300 SW 5TH AVENUE PORTLAND, OR 97201 | VISION SERVICE PLAN | — | — | $0 | — |
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 | 721 | 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) | 721 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | PACIFICSOURCE HEALTH PLANS | 294 | $1.6M |
| Vision(2 contracts, 2 carriers) | PACIFICSOURCE HEALTH PLANS | 294 | $122K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 721 | $16K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 721 | $16K |
| Prescription drug(2 contracts) | PACIFICSOURCE HEALTH PLANS | 294 | $1.6M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 721 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 721 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.