| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES, I | 2106 PACIFIC AVE TACOMA, WA 98402 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $0 | $3K | $3K | 0.06% |
| DOUGLAS A WOHLMAN INC.3 Filed as: DOUGLAS A. WOHLMAN INC. | 809 ALOHA STREET EDMONDS, WA 98020 | THE UNION LABOR LIFE INSURANCE COMPANY | $41K | — | $41K | 2.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA | 1325 4TH AVE, SUITE 1705 SEATTLE, WA 98101 | THE UNION LABOR LIFE INSURANCE COMPANY | $29K | — | $29K | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELFARE & PENSION ADMIN SERVICES EIN 91-1363171 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication; Plan Administrator; Claims processing; Accounting (including auditing) Service code 10 | 2815 2ND AVENUE SUITE 300 SEATTLE, WA 98121 | $894K |
| PREMERA EIN 91-0499247 NONE | Claims processing Service code 12 | PO BOX 91080 SEATTLE, WA 98111 | $631K |
| BRWN&BRWN OF WA DBA DIMARTINO ASSC NONE | Consulting (general) Service code 16 | 1325 4TH AVENUE, STE 1705 SEATTLE, WA 98101 | $120K |
| QUEST INVESTMENTS MGMT INC EIN 93-0880854 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | ONE SW COLUMBIA ST 1100 PORTLAND, OR 97258 | $95K |
| AGC-IUOE LOCAL 701 TRAINING TRUST EIN 93-0634959 NONE | Other fees Service code 99 | P.O. BOX 34203 SEATTLE, WA 98124 | $81K |
| BARLOW & COUGHRAN, P.S. EIN 91-0889948 NONE | Legal Service code 29 | 1325 FOURTH AVNUE STE 910 SEATTLE, WA 981012573 | $78K |
| CHARTWELL INVESTMENT PARTNER NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1205 WESTLAKES DRIVE SUITE 100 BERWYN, PA 19312 | $71K |
| ZELIS CLAIMS INTEGRITY EIN 47-4319823 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $69K |
| MEDICAL REHABILITATION CONSULTANTS NONE | Other services Service code 49 | 111 W CATALDO 200 SPOKANE, WA 99201 | $56K |
| VISION SERVICE PLAN EIN 23-7089668 NONE | Direct payment from the plan; Contract Administrator Service code 13 | P.O. BOX 742430 LOS ANGELES, CA 90074 | $31K |
| CHANGE HEALTHCARE NONE | Other insurance fees and expenses Service code 73 | 3055 LEBANON PIKE NASHVILLE, TN 37214 | $31K |
| ALAFFIA HEALTH NONE | Direct payment from the plan; Claims processing Service code 12 | 169 MADISON AVE #2409 NEW YORK, NY 10016 | $19K |
| PLATFORM CPAS, LLC. EIN 88-4342576 NONE | Accounting (including auditing) Service code 10 | 6510 MILLROCK DR #275 HOLLADAY, UT 84121 | $18K |
| BANK OF AMERICA EIN 94-1687665 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | PO BOX 15284 WILMINGTON, DE 19850 | $11K |
| PRINT TIME NONE | Direct payment from the plan; Other services Service code 49 | 2610 WESTERN AVE SEATTLE, WA 98121 | $9K |
| NEPC, LLC NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 255 STATE STREET BOSTON, MA 02109 | $8K |
| US BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Direct payment from the plan; Shareholder servicing fees; Float revenue; Custodial (securities) Service code 19 | — | $6K |
| UNITED PARCEL SERVICE NONE | Other services; Direct payment from the plan Service code 49 | P.O. BOX 809488 CHICAGO, IL 606809488 | $5K |
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 | 2,217 | 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) | 2,217 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 703 | $4.6M |
| Dental | WILLAMETTE DENTAL GROUP | 748 | $288K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 2,252 | $107K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 2,252 | $107K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,998 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,252 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.