| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EMSPRING CORPORATION3 | 3911 CASTLEVALE ROAD, SUITE 209 YAKIMA, WA 98902 | GROUP HEALTH OPTIONS, INC. | $25K | — | $25K | 5.14% |
| EMSPRING CORPORATION3 | 3911 CASTLEVALE ROAD, SUITE 209 YAKIMA, WA 98902 | UNION SECURITY INSURANCE COMPANY | $3K | — | $3K | 3.96% |
| EMSPRING CORPORATION3 | 3911 CASTLEVALE ROAD, SUITE 209 YAKIMA, WA 98902 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $683 | — | $683 | 1.00% |
| CORRY AGENCY, INC.3 Filed as: CORRY AGENCY INC | PO BOX 950 GIG HARBOR, WA 98335 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $76 | $3K | 14.79% |
| BRIAN WHITE3 Filed as: BRIAN RODERICK | 3104 MCALLISTER STREET DUPONT, WA 98327 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $165 | $114 | $279 | 1.50% |
| JUDY INEZ BUCHOLTZ3 Filed as: JUDY I. BOXHOLTZ | 12517-217TH AVENUE COURT EAST BONNEY LAKE, WA 98391 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $246 | $15 | $261 | 1.41% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINTON, INC. | 1501 4TH AVENUE SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $52 | — | $52 | 0.28% |
| GREGORY J. HINE3 Filed as: GREGORY J. HINES | 8118 62ND DRIVE NE MARYSVILLE, WA 98270 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE BELLEVUE, WA 98004 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.06% |
| MJ INSURANCE3 Filed as: RANDY DAHL AND VARIOUS AGENTS | 707 SOUTH GRADY WAY RENTON, WA 98057 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.06% |
| EMSPRING CORPORATION3 | 3911 CASTLEVALE ROAD, SUITE 209 YAKIMA, WA 98902 | VISION SERVICE PLAN | $683 | — | $683 | 7.89% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GROUP HEALTH OPTIONS, INC. | 74 | $486K |
| Dental | UNION SECURITY INSURANCE COMPANY | 96 | $83K |
| Vision | VISION SERVICE PLAN | 79 | $9K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 190 | $68K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 190 | $68K |
| Prescription drug | GROUP HEALTH OPTIONS, INC. | 74 | $486K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 190 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.