| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROPEL INSURANCE3 Filed as: PROPEL INSURANCE - PORTLAND | 805 SW BROADWAY SUITE 2300 PORTLAND, OR 97205 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $12K | — | $12K | 1.92% |
| ASSURETY (NOW PROPEL-PORTLAND)3 | 888 SW 5TH AVENUE SUITE 1170 PORTLAND, OR 97204 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $3K | $2K | $6K | 0.92% |
| PROPEL INSURANCE3 Filed as: PROPEL INSURANCE-MEDFORD | 1201 PACIFIC AVENUE SUITE 1000 TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 0.26% |
| BRATRUD MIDDLETON INSURANCE BROKERS3 | DBA PROPEL INSURANCE 1201 PACIFIC AVENUE SUITE 1000 TACOMA, WA 98402 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 8.99% |
| PREMIER WORKSITE SOLUTIONS INC3 Filed as: PREMIER WORKSITE SOLUTIONS INC. | 806 NW 79TH STREET VANCOUVER, WA 98665 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 5.28% |
| KAREN CLAY KUNKLER3 | 1709 NW 45TH AVENUE CAMAS, WA 98607 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $325 | $2K | 3.15% |
| BENEFITS BY DESIGN INC3 Filed as: BENEFITS BY DESIGN INC. | 2101 NE 79TH STREET RIDGEFIELD, WA 98642 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $502 | $2K | 2.37% |
| PATRICK IAN WAGNER3 | 4580 PEBBLE BROOK LANE PLANO, TX 75093 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.07% |
| GABRIEL ANGEL CANALS3 | 1329 NE 236TH AVENUE WOOD VILLAGE, OR 97060 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $297 | $1K | 1.79% |
| SUSAN J LEACH3 | 4419 NE 131ST PLACE PORTLAND, OR 97230 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $360 | $38 | $398 | 0.53% |
| CHRISTINE LYNN MORGESTER3 | 2137 N Q STREET WASHOUGAL, WA 98671 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $162 | — | $162 | 0.22% |
| BRANDON NORIEGA-ARANA3 | 22075 CAMELLIA AVENUE NE AURORA, OR 97002 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $40 | — | $40 | 0.05% |
| MARK J ROBISON3 | 1255 KIENAS ROAD KALISPELL, MT 59901 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $31 | $4 | $35 | 0.05% |
| BRANDEN E. CAMPBELL3 Filed as: BRANDEN CAMPBELL | 4818 NORTH WILLOW ROAD SPOKANE, WA 99206 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.03% |
| ROXANA BUSCHMAN3 | 400 NORTHEAST 149TH STREET VANCOUVER, WA 98685 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $19 | $2 | $21 | 0.03% |
| RITA J ROBINSON3 | 21780 WILLAMETTE DRIVE WEST LINN, OR 97068 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | $1 | $4 | 0.01% |
| MARY ESTHER TAYLOR3 | 1126 GATEWAY LOOP SPRINGFIELD, OR 97477 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| BRATRUD MIDDLETON INSURANCE BROKERS3 | P.O. BOX 2940 TACOMA, WA 98401 | LIFEMAP ASSURANCE COMPANY | $3K | — | $3K | 5.71% |
| BRATRUD MIDDLETON INSURANCE BROKERS3 | DBA PROPEL INSURANCE 1201 PACIFIC HIGHWAY SUITE 1000 TACOMA, WA 98402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $320 | — | $320 | 2.00% |
| BRATRUD MIDDLETON INSURANCE BROKERS3 | P.O. BOX 2940 TACOMA, WA 98401 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $706 | — | $706 | 6.41% |
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 | 100 | 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) | 100 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 193 | $641K |
| Dental(2 contracts, 2 carriers) | LIFEMAP ASSURANCE COMPANY | 104 | $76K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 130 | $11K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 89 | $75K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 100 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.