| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVIDSON BENEFITS PLANNING LLC3 Filed as: DAVIDSON BENEFITS PLANNING | 7632 SW DURHAM ROAD, SUITE 115 TIGARD, OR 97224 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 3.96% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | UNKNOWN TUALATIN, OR 97062 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $0 | $2K | $2K | 2.42% |
| PACIFIC ADVISORS LLC3 | UNKNOWN TUALATIN, OR 97062 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $120 | $0 | $120 | 0.15% |
| SUPPLEMENTAL BENEFIT SOLUTIONS3 Filed as: SUPPLEMENTAL BENEFIT SOLUTIONS, INC | 9419 WEST VILLA HERMOSA PEORIA, AZ 85383 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | $0 | $8K | 27.44% |
| SUPPLEMENTAL BENEFIT SOLUTIONS3 Filed as: SUPPLEMENTAL BENEFIT SOLUTIONS, INC | 9419 WEST VILLA HERMOSA PEORIA, AZ 85383 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 27.32% |
| SUPPLEMENTAL BENEFIT SOLUTIONS3 Filed as: SUPPLEMENTAL BENEFIT SOLUTIONS, INC | 9419 WEST VILLA HERMOSA PEORIA, AZ 85383 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $332 | $0 | $332 | 10.06% |
| SUPPLEMENTAL BENEFIT SOLUTIONS3 Filed as: SUPPLEMENTAL BENEFIT SOLUTIONS, INC | 9419 WEST VILLA HERMOSA PEORIA, AZ 85383 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $403 | $0 | $403 | 13.53% |
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 | 91 | 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) | 91 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 83 | $80K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 91 | $6K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 22 | $9K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 43 | $30K |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 99 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.