| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | AETNA LIFE INSURANCE COMPANY | $59K | $0 | $59K | 4.58% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | DELTA DENTAL OF WASHINGTON | $5K | $0 | $5K | 4.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 55 EAST JACKSON BOULEVARD SUITE 14A CHICAGO, IL 60604 | DELTA DENTAL OF WASHINGTON | $870 | $0 | $870 | 0.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY | $11K | $614 | $12K | 18.39% |
| RANDY L. WALLACE3 | 8040 161ST AVENUE NE, SUITE 349 REDMOND, WA 98052 | AFLAC | $582 | $0 | $582 | 5.10% |
| MJ INSURANCE3 Filed as: BARRY MCPHERSON AND VARIOUS AGENTS | 2211 MICHELSON DRIVE, SUITE 1150 IRVINE, CA 92612 | AFLAC | $153 | $0 | $153 | 1.34% |
| DEBORAH R. WALLACE3 | 8040 161ST AVENUE NE, SUITE 349 REDMOND, WA 98052 | AFLAC | $127 | $0 | $127 | 1.11% |
| MICHAEL BRUNN3 Filed as: MICHAEL E. BRUNN | 19225 NE 202ND STREET WOODINVILLE, WA 98077 | AFLAC | $82 | $0 | $82 | 0.72% |
| BARRY E JONES3 Filed as: BARRY E. JONES | 6573 FORZA COURT LAS VEGAS, NV 89131 | AFLAC | $82 | $0 | $82 | 0.72% |
| BRAD FISHER3 | 915 2ND AVENUE, M/S W214 SEATTLE, WA 98174 | AFLAC | $69 | $0 | $69 | 0.60% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $49 | $0 | $49 | 0.43% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1501 FOURTH AVENUE, SUITE 2400 SEATTLE, WA 98101 | UNITEDHEALTHCARE INSURANCE COMPANY | $862 | $0 | $862 | 7.56% |
No Schedule C service providers reported on this filing.
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 224 | $1.3M |
| Dental | DELTA DENTAL OF WASHINGTON | 229 | $111K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 115 | $11K |
| Life insurance | UNUM LIFE INSURANCE COMPANY | 341 | $63K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY | 341 | $63K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY | 341 | $63K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 224 | $1.3M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY | 341 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 341 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.