| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RUSSEL CONSULTING GROUP, LLC4 | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $3K | $650 | $3K | 0.44% |
| RUSSEL CONSULTING GROUP, LLC4 | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | $543 | $3K | 0.44% |
| RUSSEL CONSULTING GROUP, LLC4 | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $3K | $353 | $3K | 0.57% |
| RUSSEL CONSULTING GROUP, LLC4 | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | $292 | $2K | 0.43% |
| RISK STRATEGIES COMPANY4 | 990 FIFTH AVENUE SAN RAFAEL, CA 94901 | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | $0 | $3K | $3K | 2.50% |
| RUSSEL CONSULTING GROUP, LLC4 | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $67 | $14 | $81 | 0.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| US BENEFITS INC. EIN 93-0929070 SUBSIDIARY OF UMTA | Claims processing; Direct payment from the plan Service code 12 | — | $900K |
| UEA, INC. EIN 93-0991444 SUBSIDIARY OF UMTA | Contract Administrator; Direct payment from the plan Service code 13 | — | $717K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 NONE | Direct payment from the plan; Contract Administrator; Claims processing; Float revenue; Non-monetary compensation; Other services; Participant communication Service code 12 | — | $379K |
| QUEST INVESTMENT MANAGEMENT EIN 93-0880854 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | — | $86K |
| HEALTHX, INC. EIN 35-1928243 NONE | Direct payment from the plan; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $63K |
| RUSSEL CONSULTING GROUP, LLC EIN 47-2398348 NONE | Consulting (general); Actuarial; Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 11 | — | $60K |
| BARRAN LIEBMAN EIN 93-1251627 NONE | Legal; Direct payment from the plan Service code 29 | — | $50K |
| RSC INSURANCE BROKERAGE, INC. EIN 16-1689464 NONE | Direct payment from the plan; Insurance agents and brokers; Actuarial; Consulting (general) Service code 11 | — | $45K |
| PRISM HEALTH GROUP, LLC EIN 88-2321599 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $39K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| US BANK, NA EIN 31-0841368 NONE | Custodial (securities); Other services; Soft dollars commissions; Direct payment from the plan; Float revenue Service code 19 | — | $24K |
| WELLDYNERX, LLC EIN 84-1515837 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $14K |
| PROACT NONE | Other services; Direct payment from the plan Service code 49 | 6333 STATE ROUTE 298 SYRACUSE, NY 13057 | $13K |
| ANDERSON ZURMUEHLEN & CO EIN 81-0385940 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| WINDSOR STRATEGY PARTNERS, INC. EIN 81-0912547 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $10K |
| GENOVA BURNS, LLC EIN 22-2940404 NONE | Legal; Direct payment from the plan Service code 29 | — | $8K |
| JOHN MORRISON NONE | Direct payment from the plan; Other services; Consulting (general) Service code 16 | 624 GILBERT STREET HELENA, MT 59601 | $7K |
| ZELIS CLAIMS INTEGRITY EIN 86-1040704 NONE | Other services; Direct payment from the plan Service code 49 | — | $6K |
| CIGNA | Participant communication; Named fiduciary; Non-monetary compensation; Float revenue; Other services; Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $0 |
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 | 1,441 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,455 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 131 | $2.5M |
| Dental(6 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 956 | $2.8M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,482 | $138K |
| Stop-loss / reinsurancereinsurance | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | 2,564 | $105K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,482 | $138K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,564 | — |
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.