| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP4 Filed as: THE PARTNERS GROUP LTD | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $5K | — | $5K | 0.44% |
| THE PARTNERS GROUP4 Filed as: THE PARTNERS GROUP LTD | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $4K | — | $4K | 0.57% |
| THE PARTNERS GROUP4 Filed as: THE PARTNERS GROUP LTD | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $4K | — | $4K | 0.66% |
| THE PARTNERS GROUP4 Filed as: THE PARTNERS GROUP LTD | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 0.60% |
| RUSSEL CONSULTING GROUP, LLC4 Filed as: RUSSEL CONSULTING GROUP LLC | — | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | — | $5K | $5K | 2.00% |
| THE PARTNERS GROUP4 Filed as: THE PARTNERS GROUP LTD | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $142 | — | $142 | 0.51% |
| THE PARTNERS GROUP4 Filed as: THE PARTNERS GROUP LTD | — | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $117 | — | $117 | 0.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| US BENEFITS INC. EIN 93-0929070 SUBSIDIARY OF UMTA | Claims processing; Direct payment from the plan Service code 12 | — | $903K |
| UEA, INC. EIN 93-0991444 SUBSIDIARY OF UMTA | Direct payment from the plan; Contract Administrator Service code 13 | — | $696K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 NONE | Claims processing; Contract Administrator; Participant communication; Direct payment from the plan; Other services Service code 12 | — | $337K |
| QUEST INVESTMENT MANAGEMENT EIN 93-0880854 NONE | Investment management fees paid directly by plan; Investment management; Soft dollars commissions Service code 28 | — | $98K |
| WELLDYNERX, LLC EIN 84-1515837 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $93K |
| THE PARTNERS GROUP EIN 93-1300504 NONE | Direct payment from the plan; Insurance agents and brokers; Actuarial; Consulting (general) Service code 11 | — | $69K |
| ZIPARI, INC. EIN 32-0435609 NONE | Direct payment from the plan; Other services Service code 49 | — | $67K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $64K |
| BARRAN LIEBMAN EIN 93-1251627 NONE | Legal; Direct payment from the plan Service code 29 | — | $41K |
| PRISM HEALTH GROUP, LLC EIN 88-2321599 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $36K |
| US BANK EIN 31-0841368 NONE | Direct payment from the plan; Soft dollars commissions; Other services; Custodial (securities); Float revenue Service code 19 | — | $27K |
| ZELIS CLAIMS INTEGRITY EIN 86-1040704 NONE | Other services; Direct payment from the plan Service code 49 | — | $18K |
| MZQ CONSULTING, LLC EIN 38-4010278 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $16K |
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 | 1,222 | 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) | 1,236 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 110 | $2.7M |
| Dental(7 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 665 | $3.0M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,311 | $156K |
| Stop-loss / reinsurancereinsurance | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | 1,138 | $238K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,311 | $156K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,311 | — |
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.