| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONOVER INSURANCE SERVICES LLC3 Filed as: CONOVER INSURANCE YAKIMA, WA | PO BOX 10088 YAKIMA, WA 98909 | QBE INSURANCE | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| QBE INSURANCE COMPANY EIN 22-2311816 NONE | Insurance services Service code 23 | 88 PINE STREET NEW YORK, NY 10005 | $482K |
| NAVITUS HEALTH SOLUTION EIN 04-3608530 NONE | Claims processing Service code 12 | 12301 RESEARCH BLVD PLAZA V SUITE 350 AUSTIN, TX 78759 | $451K |
| WEBTPA EMPLOYER SERVICES INC EIN 75-2611444 CLAIMS ADMINISTRATOR | Insurance services Service code 23 | 8500 FREEPORT PKWY 400 IRVING, TX 75063 | $369K |
| ROD COOK EIN 93-1073003 EMPLOYEE | Employee (plan) Service code 30 | 3050 TREMONT STREET NORTH BEND, OR 97459 | $104K |
| JEFFREY SEVERSON EIN 93-1073003 EMPLOYEE | Employee (plan) Service code 30 | 3050 TREMONT STREET NORTH BEND, OR 97459 | $49K |
| CONOVER EIN 27-3052908 INSURANCE CONSULTANT | Consulting (general) Service code 16 | 4 BROOKWOOD CT APPLETON, WI 54914 | $37K |
| KERN & THOMPSON, LLC EIN 93-1157146 NONE | Accounting (including auditing) Service code 10 | 1800 SW FIRST AVE STE 410 PORTLAND, OR 972015333 | $12K |
| BRIDGEHEALTH MEDICAL INC EIN 26-0804648 NONE | Consulting (general) Service code 16 | 4700 S SYRACUSE ST STE 900 DENVER, CO 80237 | $11K |
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 | 582 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 584 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | QBE INSURANCE | 519 | $515K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 519 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.