| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES LLC | 2268 WESTBOROUGH BLVD STE 302 SAN FRANCISCO, CA 94080 | SUN LIFE ASSURANCE COMPANY OF CANADA | $13K | — | $13K | 5.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Participant communication; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $735K |
| INNOVATIVE CARE MANAGEMENT, INC. EIN 93-1087669 NONE | Direct payment from the plan; Insurance services; Other services Service code 23 | — | $183K |
| MULTIPLAN, INC. EIN 13-3068979 NONE | Other fees Service code 99 | — | $154K |
| RICHARD BIRMINGHAM NONE | Legal; Direct payment from the plan Service code 29 | 1201 3RD AVE STE 2200 SEATTLE, WA 98101 | $81K |
| US BANK EIN 31-0841368 NONE | Direct payment from the plan; Custodial (securities); Other services Service code 19 | — | $62K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Consulting (general); Insurance brokerage commissions and fees; Insurance agents and brokers Service code 16 | — | $53K |
| PROVIDENCE PLAN PARTNERS EIN 91-1861964 NONE | Claims processing Service code 12 | — | $46K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $45K |
| PSG CONSULTING, LLC EIN 27-2345574 NONE | Consulting (general) Service code 16 | — | $36K |
| TORI A GETER NONE | Other services Service code 49 | 1425 NW GARFIELD AVE CORVALLIS, OR 97330 | $35K |
| MCKENZIE ROTHWELL BARLOW & COUGHRAN EIN 91-0889948 NONE | Legal Service code 29 | — | $28K |
| MILLIMAN, INC EIN 91-0675641 NONE | Actuarial Service code 11 | — | $22K |
| VERUS ADVISORY, INC. EIN 91-1320111 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $17K |
| AMERICAN MEDICAL REVIEW EIN 47-5346396 NONE | Other fees Service code 99 | — | $16K |
| BROWNSTEIN RASK LLP EIN 93-0589000 NONE | Legal Service code 29 | — | $16K |
| J THAYER COMPANY EIN 93-1318092 NONE | Other services Service code 49 | — | $14K |
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 | 2,712 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 941 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 3,653 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 4,645 | $22.7M |
| Dental | WILLAMETTE DENTAL INSURANCE, INC. | 669 | $287K |
| Vision | VISION SERVICE PLAN | 3,649 | $315K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 12,016 | $555K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,550 | $249K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 12,016 | $555K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,016 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.