| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROPEL INSURANCE3 | 1201 PACIFIC AVE. 1000 TACOMA, WA 98402 | RELIASTAR LIFE INSURANCE COMPANY | $70K | — | $70K | 7.96% |
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICE LLC | 315 MONTGOMERY ST 900 SAN FRANCISCO, CA 94104 | RELIASTAR LIFE INSURANCE COMPANY | $61K | — | $61K | 6.97% |
| PROPEL INSURANCE AGENCY LLC3 | 601 UNION ST., STE 3400 SEATTLE, WA 98101 | SYMETRA LIFE INSURANCE CO. | $4K | — | $4K | 9.44% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL | DBA BENEFITMALL 4851 LBJ FRWY STE 100 DALLAS, TX 75244 | SYMETRA LIFE INSURANCE CO. | — | $2K | $2K | 4.91% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | 2323 EASTLAKE AVE. E SEATTLE, WA 981023305 | $804K |
| PREMERA EIN 91-0499247 CLAIMS ADMIN/PPO ACCESS | Claims processing Service code 12 | PO BOX 327 SEATTLE, WA 98111 | $501K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 CLAIMS AUDITING | Other services; Direct payment from the plan; Insurance services Service code 23 | PO BOX 22386 PORTLAND, OR 97269 | $112K |
| WASHINGTON CAPITAL MANAGEMENT, INC. EIN 91-1042342 INVESTMENT ADVISOR/MGR | Investment advisory (plan); Investment management Service code 27 | 1200 6TH AVE, STE 700 SEATTLE, WA 98101 | $57K |
| PROPEL INSURANCE EIN 91-0830024 CONSULTANT | Insurance agents and brokers; Consulting (general) Service code 16 | 925 FOURTH AVENUE 3200 SEATTLE, WA 981041159 | $47K |
| LOCKTON COMPANIES, LLC EIN 20-3354970 CONSULTANT | Consulting (general) Service code 16 | 7401 METRO BLVD., STE 210 EDINA, MN 554393086 | $46K |
| US BANK EIN 93-0571729 CUSTODIAN/INVESTMENT MGR | Investment management; Custodial (securities) Service code 19 | 800 NICOLLET MALL MINNEAPOLIS, MN 55402 | $31K |
| WELLS FARGO BANK EIN 94-1347393 BANKING | Other services Service code 49 | PO BOX 63020 SAN FRANCISCO, CA 94163 | $30K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-1008931 LEGAL COUNCEL | Legal Service code 29 | 1325 FOURTH AVENUE, 910 SEATTLE, WA 981012573 | $25K |
| ANASTASI, MOORE AND MARTIN EIN 20-8149084 PAYROLL AUDITOR | Accounting (including auditing) Service code 10 | 104 S DIVISION SPOKANE, WA 99202 | $22K |
| CVS/CAREMARK EIN 05-0304626 RX CLAIMS PROCESSING | Claims processing Service code 12 | ONE CVS DRIVE WOONSOCKET, RI 02895 | $17K |
| VISION SERVICE PLAN EIN 06-1227840 VISION ADMIN FEE | Claims processing Service code 12 | 7400 GAYLORD PARKWAY FRISCO, TX 75034 | $14K |
| BJORKLUND & MONTPLAISIR EIN 93-1015766 AUDITOR | Accounting (including auditing) Service code 10 | 9020 SW WASHINGTON SQ RD PORTLAND, OR 97223 | $14K |
| AUDIT SERVICES, INC. EIN 81-0350794 PAYROLL AUDITOR | Accounting (including auditing) Service code 10 | PO BOX 68 SUN RIVER, MT 59483 | $7K |
| MILLIMAN USA EIN 91-0675641 ACTUARY | Actuarial Service code 11 | 1301 FIFTH AVENUE, 3800 SEATTLE, WA 981012646 | $6K |
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 | 1,451 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 364 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,815 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE CO. | 1,499 | $42K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 1,524 | $880K |
| Other | SYMETRA LIFE INSURANCE CO. | 1,499 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,524 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.