| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MONTGOMERY & GRAHAM INC3 Filed as: MONTGOMERY & GRAHAM, INC. | 412 JEFFERSON PKWY #100 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $15K | $1K | $16K | 2.09% |
| MONTGOMERY & GRAHAM INC3 Filed as: MONTGOMERY & GRAHAM INC. | 412 JEFFERSON PKWY #100 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $0 | $1K | $1K | 0.14% |
| ALLIANCE BENEFIT SOLUTIONS, LLC3 | 391 RANDY DR GRANTS PASS, OH 97527 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 16.24% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PARKWAY STE 100 LAKE OSWEGO, OH 97035 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.53% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PKWY STE 100 LAKE OWSEGO, OR 97035 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 5.17% |
| ALLIANCE BENEFIT SOLUTIONS, LLC3 | 391 RANDY DR GRANTS PASS, OR 97527 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 19.03% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PARKWAY STE 100 LAKE OSWEGO, OH 97035 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 11.57% |
| MARIA G VILLANUEVA3 | 2110 MISSION ST SE STE 305 SALEM, OR 97302 | TRANSAMERICA LIFE INSURANCE COMPANY | $51 | — | $51 | 0.32% |
| CASTRO MONROY GROUP, LLC3 | 2110 MISSION ST SE STE 305 SALEM, OR 97302 | TRANSAMERICA LIFE INSURANCE COMPANY | $40 | — | $40 | 0.25% |
| BOB NYLEEN3 | 6455 13TH AVE SE SALEM, OR 97306 | TRANSAMERICA LIFE INSURANCE COMPANY | $23 | — | $23 | 0.14% |
| ANGEL X ESCAMILLA3 Filed as: ANGEL ESCAMILLA | 13787 SW FARMINGTON RD STE 228 BEAVERTON, OR 97005 | TRANSAMERICA LIFE INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| ALLIANCE BENEFIT SOLUTIONS, LLC3 | 391 RANDY DR GRANTS PASS, OR 97527 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 17.30% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PARKWAY STE 100 LAKE OSWEGO, OR 97035 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 11.87% |
| MARIA G VILLANUEVA3 Filed as: MARIA VILLANUEVA | 2110 MISSION ST SE STE 305 SALEM, OR 97302 | TRANSAMERICA LIFE INSURANCE COMPANY | $52 | — | $52 | 0.47% |
| CASTRO MONROY GROUP, LLC3 | 2110 MISSION ST SE STE 305 SALEM, OR 97302 | TRANSAMERICA LIFE INSURANCE COMPANY | $34 | — | $34 | 0.30% |
| BOB NYLEEN3 | 6455 13TH AVE SE SALEM, OR 97306 | TRANSAMERICA LIFE INSURANCE COMPANY | $23 | — | $23 | 0.21% |
| ANGEL X ESCAMILLA3 | 13787 SW FARMINGTON RD STE 228 BEAVERTON, OR 97005 | TRANSAMERICA LIFE INSURANCE COMPANY | $10 | — | $10 | 0.09% |
| ALLIANCE BENEFIT SOLUTIONS, LLC3 Filed as: ALLIANCE BENEFIT SOLUTIONS, INC | 391 RANDY DR GRANTS PASS, OR 97527 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 25.46% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PARKWAY STE 100 LAKE OSWEGO, OR 97035 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 18.74% |
| CASTRO MONROY GROUP, LLC3 | 2110 MISSION ST SE STE 305 SALEM, OH 97302 | TRANSAMERICA LIFE INSURANCE COMPANY | $20 | — | $20 | 0.27% |
| BOB NYLEEN3 | 6455 13TH AVE SE SALEM, OR 97306 | TRANSAMERICA LIFE INSURANCE COMPANY | $13 | — | $13 | 0.18% |
| MARIA G VILLANUEVA3 Filed as: MARIA VILLANEUVA | 2110 MISSION ST SE STE 305 SALEM, OR 97302 | TRANSAMERICA LIFE INSURANCE COMPANY | $11 | — | $11 | 0.15% |
| ANGELA X ESCAMILLA3 | 13787 SW FARMINGTON RD STE 228 BEAVERTON, OR 97005 | TRANSAMERICA LIFE INSURANCE COMPANY | $3 | — | $3 | 0.04% |
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 | 334 | 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) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 227 | $1.1M |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 175 | $22K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 153 | $27K |
| Short-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 63 | $16K |
| Other(2 contracts) | TRANSAMERICA LIFE INSURANCE COMPANY | 91 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.