| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18700 N HAYDEN ROAD SUITE 405 SCOTTSDALE, AZ 85255 | THE UNION LABOR LIFE INSURANCE COMPANY | $181K | — | $181K | 10.00% |
| DOUGLAS A WOHLMAN INC.3 Filed as: DOUGLAS A WOHLMAN, INC | 11320 NE 103RD STREET KIRKLAND, WA 98033 | THE UNION LABOR LIFE INSURANCE COMPANY | $923 | — | $923 | 1.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED ADMINISTRATIVE SERVICES EIN 94-1749354 NONE | Contract Administrator Service code 13 | — | $630K |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator; Float revenue; Other services Service code 12 | — | $259K |
| WITHUM SMITH & BROWN EIN 22-2027092 NONE | Accounting (including auditing) Service code 10 | — | $154K |
| RAEL & LETSON EIN 94-1701048 NONE | Actuarial Service code 11 | — | $104K |
| ASCENDANT HEALTHCARE EIN 26-3768186 NONE | Other services Service code 49 | — | $67K |
| SMART SOURCE LLC EIN 30-0830429 NONE | Copying and duplicating Service code 36 | — | $41K |
| INEICH & COMPANY, LLP EIN 56-2552172 NONE | Accounting (including auditing) Service code 10 | — | $25K |
| CHARLES SCULLY II EIN 94-2690827 NONE | Legal Service code 29 | — | $24K |
| US BANK, N.A. EIN 31-0841368 NONE | Custodial (securities) Service code 19 | — | $20K |
| GARCIA HAMILTON & ASSOCIATES EIN 76-0589652 NONE | Investment management Service code 28 | — | $16K |
| PENSION EVALUATION, INC. EIN 11-2503982 NONE | Investment advisory (plan) Service code 27 | — | $10K |
| WEALTH ENHACEMENT GROUP EIN 75-3100788 NONE | Investment management Service code 28 | — | $9K |
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 | 2,848 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,848 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 3,765 | $24.6M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 2,125 | $702K |
| Vision | VISION SERVICE PLAN | 2,924 | $249K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,887 | $92K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,132 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,765 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.