| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK FISHER C/O ADVANCED INC3 Filed as: MARK A. WOODWORTH | PO BOX 3725 COUER D ALENE, ID 83816 | UNITED HERITAGE LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.29% |
| THE MURRAY GROUP3 | PO BOX 3724 COUER D ALENE, ID 83816 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11K | $5K | $16K | 29.04% |
| BENEFITS BY DESIGN INC3 | 2101 NE 279TH STREET RIDGEFIELD, WA 98642 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $560 | $2K | 3.07% |
| PREMIER WORKSITE SOLUTIONS INC3 | 112 NW 114TH STREET VANCOUVER, WA 98685 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $887 | $598 | $1K | 2.67% |
| TIMOTHY CAMARATA3 | 3576 NORTH SHADOW COURT COUER D ALENE, ID 83815 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.16% |
| RONALD E KIRKLAND3 Filed as: RONALD JONES | 320 NANCY COURT MOSCOW, ID 83843 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $598 | $262 | $860 | 1.55% |
| GABRIEL ANGEL CANALS3 | 1329 NE 236TH AVENUE WOOD VILLAGE, OR 97060 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $166 | $208 | $374 | 0.67% |
| CHRISTOPHER MICHAEL JONES3 | 6325 EAST 18TH AVENUE SPOKANE VALLEY, WA 99212 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $83 | $104 | $187 | 0.34% |
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 | 267 | 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) | 267 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD OF IDAHO, INC. | 336 | $1.6M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF IDAHO | 148 | $127K |
| Vision | UNITED HERITAGE LIFE INSURANCE COMPANY | 239 | $118K |
| Life insurance | UNITED HERITAGE LIFE INSURANCE COMPANY | 239 | $118K |
| Short-term disability | UNITED HERITAGE LIFE INSURANCE COMPANY | 239 | $118K |
| Long-term disability | UNITED HERITAGE LIFE INSURANCE COMPANY | 239 | $118K |
| Prescription drug | REGENCE BLUESHIELD OF IDAHO, INC. | 336 | $1.6M |
| Other(3 contracts, 3 carriers) | UNITED HERITAGE LIFE INSURANCE COMPANY | 267 | $180K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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."
No prospect flags tripped on this filing.