| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | 601 UNIONT ST STE 1000 SEATTLE, WA 98101 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $76K | — | $76K | 0.95% |
| CAMPBELL GALT AND NEWLANDS, INC.3 Filed as: CAMPBELL GALT & NEWLANDS INC | 700 NE MULTNOMAH ST PORTLAND, OR 97232 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $21K | — | $21K | 0.26% |
| KENNETH L WORDEN3 | 1221 ABRAMS ROAD SUITE 335 RICHARDSON, TX 75081 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $441 | — | $441 | 0.01% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | 601 UNIONT ST STE 1000 SEATTLE, WA 98101 | SUN LIFE ASSURANCE COMPAN OF CANADA | — | $13K | $13K | 2.47% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | PO BOX 62949 VIGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPAN OF CANADA | $13K | — | $13K | 2.44% |
| CAMPBELL GALT AND NEWLANDS, INC.3 Filed as: CAMPBELL GALT & NEWLANDS INC | 700 NE MULTNOMAH ST PORTLAND, OR 97232 | SUN LIFE ASSURANCE COMPAN OF CANADA | $8K | — | $8K | 1.47% |
| CAMPBELL GAIT AND NEWLANDS, INC.3 Filed as: CAMPBELL, GALT & NEWLANGS, INC. | 200 SUMMIT LANKE DR STE 350 VALHALLA, NY 105951360 | VISION SERVICE PLAN | $2K | — | $2K | 1.78% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: KIMBBLE & PRENTICE HOLDING COMPANY | 975 OAK ST STE 900 EUGENE, OR 974029150 | VISION SERVICE PLAN | $447 | — | $447 | 0.50% |
| USI INSURANCE SERVICES LLC3 | 333 EARLE OVINGTON BLVD UNIONDALE, NY 115533610 | VISION SERVICE PLAN | $324 | — | $324 | 0.37% |
| MCCULLUGH, CHRISTINE M3 | 14715 NE 95TH STREET STE 200 REDMOND, WA 98052 | UNUM LIFE INSURACE COMPANY OF AMERICA | $14K | — | $14K | 19.68% |
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 | 514 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 514 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUECROSS BLUESHIELD OF OREGON | 1,286 | $8.1M |
| Vision | VISION SERVICE PLAN | 514 | $89K |
| Life insurance | SUN LIFE ASSURANCE COMPAN OF CANADA | 581 | $516K |
| Other | UNUM LIFE INSURACE COMPANY OF AMERICA | 35 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,286 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.