| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF-SAWYER OREGON INC | 50 CALIFORNIA ST FLOOR 12 SAN FRANCISCO, CA 94111 | HARTFORD LIFE & ACCIDENT | $124K | — | $124K | 2.68% |
| ELIZABETH GRELLNER | 101 S HANLEY ROAD STE 900 ST LOIUS, MO 63105 | CONTINENTAL AMERICAN INSURANCE COMPANY | $337K | — | $337K | 15.56% |
| WILLIS TOWERS WATSON US LLC | COMMISSION LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | CONTINENTAL AMERICAN INSURANCE COMPANY | $168K | — | $168K | 7.76% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON US | 222 SW COLUMBIA ST STE 600 PORTLAND, OR 97201 | COMBINED INSURANCE | $304K | — | $304K | 23.87% |
| LTCI PARTNERS LLC3 | 500 W MADISON ST 32ND FLOOR CHICAGO, IL 60661 | COMBINED INSURANCE | $203K | — | $203K | 15.91% |
| J MANNING AND ASSOCIATES3 | 220 N GREEN ST CHICAGO, IL 60607 | COMBINED INSURANCE | $203K | — | $203K | 15.91% |
| RUTH LARKIN3 | 220 N GREEN ST CHICAGO, IL 60607 | COMBINED INSURANCE | $172K | — | $172K | 13.54% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF-SAWYER OREGON INC | 1001 SW 5TH AVE STE 1000 PORTLAND, OR 97204 | HARTFORD LIFE AND ACCIDENT | $9K | $6K | $15K | 3.76% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: REUBEN WARNER ASSOCIATES, INC | 1655 RICHMOND AVE STATEN ISLAND, NY 10314 | HARTFORD FIRE INSURANCE | — | — | $0 | 0.00% |
| WOODRUFF-SAWYER & CO3 | 5005 MEADOWS ROAD SUITE 415 LAKE OSWEGO, OR 97035 | HARTFORD FIRE INSURANCE | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PACIFIC SOURCE EIN 93-0245545 NONE | Contract Administrator Service code 13 | 110 INTERNATIONAL WAY SPRINGFIELD, OR 97477 | $4.1M |
| SEDGWICK CLAIMS MANAGEMENT SERVICES EIN 36-2685608 NONE | Claims processing Service code 12 | 1100 RIDGEWAY LOOP ROAD MEMPHIS, TN 38120 | $1.9M |
| MODA EIN 93-0989307 NONE | Contract Administrator Service code 13 | 601 SW 2ND AVE PORTLAND, OR 972043154 | $707K |
| CASCADE CENTERS EIN 93-0774210 NONE | Contract Administrator Service code 13 | 7180 SW FIR LOOP 1A TIGARD, OR 972238023 | $349K |
| BSWIFT LLC EIN 36-4391310 NONE | Contract Administrator Service code 13 | PO BOX 860470 MINNEAPOLIS, MN 55486 | $184K |
| COL-TAB EIN 93-0853783 NONE | Copying and duplicating Service code 36 | 1919 SE BELMONT PORTLAND, OR 972140928 | $74K |
| FIRST AMERICAN ADMINISTRATORS, INC. EIN 86-0773195 NONE | Contract Administrator Service code 13 | 14670 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | $67K |
| OGLETREE DEAKINS EIN 57-1044820 NONE | Legal Service code 29 | 222 SW COLUMBIA ST SUITE 1500 PORTLAND, OR 97201 | $12K |
| MEDIMPACT HEALTHCARE SYSTEMS EIN 33-0567651 NONE | Contract Administrator Service code 13 | 10680 TREENA ST FL 5 SAN DIEGO, CA 921312447 | $12K |
| SELECT ACTUARIALS EIN 62-1767300 NONE | Actuarial Service code 11 | 28 WHITE BRIDGE RD 205 NASHVILLE, TN 372051428 | $7K |
| DAVIS WRIGHT EIN 91-0839480 NONE | Legal Service code 29 | 1300 SW FIFTH AVENUE SUITE 2400 PORTLAND, OR 97201 | $6K |
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 | 12,903 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 12,903 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE & ACCIDENT | 0 | $4.6M |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 5,519 | $2.2M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 0 | $394K |
| Other(2 contracts, 2 carriers) | COMBINED INSURANCE | 1,609 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,519 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.