| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAPITAL FINANCIAL PLC3 Filed as: CAPITAL FINANCIAL, PLC | 14614 NORTH KIERLAND BOULEVARD SUITE N230 SCOTTSDALE, AZ 85254 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $23K | $1K | $24K | 3.47% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: M&G INSURANCE AND RISK MANAGEMENT | 412 JEFFERSON PARKWAY SUITE 203 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $7K | — | $7K | 3.02% |
| CAPITAL FINANCIAL PLC3 Filed as: CAPITAL FINANCIAL, PLC | 14614 NORTH KIERLAND BOULEVARD SUITE N230 SCOTTSDALE, AZ 85254 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $585 | — | $585 | 0.24% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: M&G INSURANCE AND RISK MANAGEMENT | 412 JEFFERSON PARKWAY SUITE 203 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC | $6K | — | $6K | 3.23% |
| CAPITAL FINANCIAL PLC3 | 14614 NORTH KIERLAND BOULEVARD SUITE N230 SCOTTSDALE, AZ 85254 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 6.18% |
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 | 289 | 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) | 289 | 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 | 155 | $1.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 289 | $94K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 289 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 289 | — |
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.