| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WARD INSURANCE AGENCY INC3 Filed as: WARD INSURANCE AGENCY, INC. | P.O. BOX 10167 EUGENE, OR 97440 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $2K | $2K | 0.01% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE, LLC | P.O. BOX 784 SPRINGFIELD, OR 97477 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $2K | $2K | 0.01% |
| LAPORTE & ASSOCIATES, INC3 Filed as: LAPORTE & ASSOCIATES, INC. | 5515 SW MILWAUKIE AVE PORTLAND, OR 97202 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $2K | $2K | 0.01% |
| ALDRICH BENEFITS LP3 | 680 HAWTHORNE AVE SE, STE 140 SALEM, OR 97301 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $1K | $1K | 0.01% |
| BOB HART INSURANCE INC3 Filed as: BOB HART INSURANCE, INC. | PO BOX 1240 GRANTS PASS, OR 97528 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $1K | $1K | 0.01% |
| ALDRICH BENEFITS LP3 | 5665 SW MEADOWS RD, STE 200 LAKE OSWEGO, OR 97035 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $826 | $826 | 0.00% |
| GCG FINANCIAL LLC3 Filed as: CSNW BENEFITS AN ALERA GROUP AGENCY | 1437 SW COLUMBIA ST PORTLAND, OR 97201 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $760 | $760 | 0.00% |
| MONTGOMERY & GRAHAM INC3 Filed as: MONTGOMERY & GRAHAM, INC | 412 JEFFERSON PKY, STE 100 LAKE OSWEGO, OR 97035 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $750 | $750 | 0.00% |
| BUSINESS INSURANCE NW LLC3 Filed as: BUSINESS INSURANCE NW, LLC | P.O. BOX 489 LYLE, WA 98635 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $392 | $392 | 0.00% |
| STRATEGY INSURANCE LLC3 Filed as: STRATEGY INSURANCE, LLC | P.O. BOX 217 TROUTDALE, OR 97060 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $392 | $392 | 0.00% |
| WARD INSURANCE AGENCY INC3 Filed as: WARD INSURANCE AGENCY, INC. | 841 OHARE PARKWAY, STE 150 MEDFORD, OR 97504 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $252 | $252 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | P.O. BOX 29018 PORTLAND, OR 97296 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $133 | $133 | 0.00% |
| CASCADE SUMMIT INSURANCE OF OREGON3 Filed as: CASCADE SUMMIT INSURANCE OF OREGON, | 1800 BLANKENSHIP RD 150 WEST LINN, OR 97068 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $133 | $133 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROWN & BROWN OF WA, INC DBA DIMART EIN 91-0378940 NONE | Insurance services; Consulting (general); Direct payment from the plan; Insurance brokerage commissions and fees; Finders' fees / placement fees; Insurance agents and brokers; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting fees Service code 15 | — | $642K |
| VIGILANT SERVICES, INC. EIN 93-0877675 SUBSIDIARY OF SPONSOR | Insurance services; Insurance agents and brokers; Contract Administrator; Finders' fees / placement fees; Consulting fees; Direct payment from the plan; Insurance brokerage commissions and fees; Consulting (general); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $339K |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Accounting (including auditing); Direct payment from the plan; Copying and duplicating; Recordkeeping fees; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant communication Service code 10 | — | $220K |
| BOB HART INSURANCE INC DBA HART INS EIN 93-0519035 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $136K |
| KPD INSURANCE, INC. EIN 86-2507515 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $103K |
| CSNW BENEFITS, AN ALERA GROUP AGENC EIN 81-4473358 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $79K |
| ALDRICH BENEFITS LP EIN 20-0407135 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $75K |
| LAPORTE & ASSOCIATES, INC. EIN 93-0775110 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $69K |
| MJI INSURANCE/ HAGAN HAMILTON EIN 93-1067008 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $65K |
| CONSILIUM BENEFIT ADVISORS EIN 93-0973312 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $48K |
| JD FULWILER & CO. INSURANCE, INC. EIN 93-0983491 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $32K |
| ROGUE BENEFIT PLANNING EIN 81-4526250 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $27K |
| WARD INSURANCE EIN 93-0963467 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $22K |
| SCHOEDEL & SCHOEDEL, CPAS, PLLC EIN 91-0614823 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $16K |
| STRATEGY INSURANCE, INC. NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | P.O. BOX 217 TROUTDALE, OR 97060 | $15K |
| HUB INTERNATIONAL NW, LLC EIN 91-2036015 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $15K |
| BROWN & BROWN NORTHWEST INSURANCE EIN 93-0518576 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $13K |
| PROPEL INSURANCE AGENCY, LLC EIN 91-0830024 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $12K |
| BUSINESS INSURANCE NW, LLC EIN 45-3533969 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $8K |
| HUGGINS INSURANCE SERVICES, INC. EIN 93-1097978 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $8K |
| MONTGOMERY & GRAHAM, INC. EIN 91-1819536 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $7K |
| CASCADE SUMMIT INSURANCE EIN 45-5393247 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $7K |
| PAYCHEX INSURANCE AGENCY, INC. EIN 16-1528391 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $6K |
| PCF INSURANCE SERVICES OF THE WEST, EIN 82-1368960 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $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 | 2,537 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,537 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF OREGON | 3,810 | $23.1M |
| Dental | DELTA DENTAL OF WASHINGTON | 912 | $367K |
| Vision | VISION SERVICE PLAN | 1,169 | $107K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 8 | $611 |
| Prescription drug | REGENCE BLUECROSS BLUESHIELD OF OREGON | 3,810 | $23.1M |
| Other | LIFEMAP ASSURANCE COMPANY | 8 | $611 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,810 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.