No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS, INC EIN 91-0680697 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Copying and duplicating Service code 12 | — | $743K |
| BLUE SHIELD OF CALIFORNIA EIN 94-0360524 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $224K |
| MILLIMAN INC. EIN 91-0675641 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $223K |
| CORNWELL & BALDWIN EIN 32-0453228 NONE | Legal; Direct payment from the plan Service code 29 | — | $214K |
| INVESCO ADVISORS, INC. EIN 58-1707262 NONE | Direct payment from the plan; Investment management fees paid directly by plan; Investment management Service code 28 | — | $183K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $176K |
| LIFETRAC, INC. EIN 20-8684614 NONE | Direct payment from the plan; Other services Service code 49 | — | $114K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $58K |
| STATE STREET BANK & TRUST COMPANY EIN 04-1867445 NONE | Other fees; Investment management; Custodial (securities); Direct payment from the plan Service code 19 | — | $55K |
| MOREL INK NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 4824 NE 42ND AVENUE PORTLAND, OR 97218 | $39K |
| INNOVATIVE CARE MANAGEMENT, INC. EIN 93-1087669 NONE | Direct payment from the plan; Other services; Insurance services Service code 23 | — | $34K |
| OPTUM RX, INC. EIN 33-0441200 NONE | Claims processing; Other fees; Float revenue; Direct payment from the plan Service code 12 | — | $25K |
| FIRST CHOICE HEALTH NETWORK EIN 91-1272766 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $24K |
| WELLS FARGO BANK, NA EIN 94-1347393 NONE | Custodial (other than securities); Direct payment from the plan; Other services Service code 18 | — | $21K |
| SERVICE PRINTING CO., INC. EIN 91-0830372 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $20K |
| AETNA LIFE INSURANCE EIN 20-1736437 NONE | Insurance services; Direct payment from the plan; Claims processing Service code 12 | — | $13K |
| LEASHA BAILEY TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | 2323 EASTLAKE AVE. EAST SEATTLE, WA 98102 | $5K |
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 | 3,234 | 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) | 3,234 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN, INC | 2,560 | $28.3M |
| Dental(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,584 | $306K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,835 | $167K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 1,362 | $1.5M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,835 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,835 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.