| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BP&A, LLC4 | PO BOX 12469 PORTLAND, OR 97212 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | — | $5K | 0.35% |
| BP&A, LLC4 | PO BOX 12469 PORTLAND, OR 97212 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | — | $5K | 0.42% |
| BP&A, LLC4 | PO BOX 12469 PORTLAND, OR 97212 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 0.41% |
| BP&A, LLC4 | PO BOX 12469 PORTLAND, OR 97212 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 0.40% |
| CRAFORD BENEFIT CONSULTANTS4 | 990 5TH STREET SAN RAFAEL, CA 94901 | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | $6K | — | $6K | 2.00% |
| JOSEPH H. HERRLE & ASSOCIATES3 Filed as: JOSEPH H HERRLE & ASSOCIATES INC | 1800 SW FIRST AVENUE, SUITE #280 PORTLAND, OR 972015333 | AETNA LIFE INSURANCE COMPANY | $23 | — | $23 | 0.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| US BENEFITS INC. EIN 93-0929070 SUBSIDIARY OF UMTA | Claims processing; Direct payment from the plan Service code 12 | — | $1.1M |
| UEA, INC. EIN 93-0991444 SUBSIDIARY OF UMTA | Direct payment from the plan; Contract Administrator Service code 13 | — | $607K |
| ZELIS CLAIMS INTEGRITY EIN 86-1040704 NONE | Direct payment from the plan; Other services Service code 49 | — | $318K |
| NAVITUS HEALTH SOLUTIONS EIN 04-3608530 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $109K |
| AMERICAN HEALTH HOLDINGS EIN 31-1368946 NONE | Other services; Direct payment from the plan Service code 49 | — | $103K |
| QUEST INVESTMENT MANAGEMENT EIN 93-0880854 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $81K |
| CRAFORD BENEFITS CONSULTANT EIN 93-1218774 NONE | Insurance agents and brokers; Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $66K |
| PROVIDENCE PLAN PARTNERS EIN 91-1861964 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $44K |
| BUTLER PARTNERS & ASSOCIATES, LLC EIN 93-1301255 NONE | Direct payment from the plan; Consulting (general); Insurance agents and brokers Service code 16 | — | $36K |
| HEALTHX, INC. EIN 35-1928243 NONE | Other services; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $35K |
| BARRAN LIEBMAN EIN 91-1251627 NONE | Legal; Direct payment from the plan Service code 29 | — | $26K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| US BANK, NA EIN 31-0841368 NONE | Direct payment from the plan; Soft dollars commissions; Other services; Float revenue; Custodial (securities) Service code 19 | — | $23K |
| WINDSOR STRATEGY PARTNERS, INC EIN 81-0912547 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $21K |
| MANAGED HEALTHCARE NORTHWEST, INC. EIN 93-0914759 NONE | Direct payment from the plan; Other services Service code 49 | — | $15K |
| JOHN M MORRISON NONE | Other services; Consulting (general); Direct payment from the plan Service code 16 | 624 GILBERT STREET HELENA, MT 59601 | $12K |
| ANDERSON ZURMUEHLEN & CO EIN 81-0385940 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $10K |
| MEGNA LAW FIRM EIN 22-3845256 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| COFINITY, LLC EIN 20-1274723 NONE | Other services; Direct payment from the plan Service code 49 | — | $10K |
| INSTINET NONE | Securities brokerage; Direct payment from the plan Service code 33 | 09 WEST 49TH STREET NEW YORK, NY 10019 | $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 | 1,963 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,975 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 233 | $3.6M |
| Dental(6 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 1,758 | $4.2M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,456 | $85K |
| Stop-loss / reinsurancereinsurance | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | 2,154 | $281K |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 2,456 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,456 | — |
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.