| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LARRY SHERWOOD & ASSOCIATES INC3 Filed as: LARRY SHERWOOD & ASSOCIATES, INC. | 18765 SW BOONES FRY, STE 325 TUALATIN, OR 97128 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $3K | $3K | 0.01% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE, LLC | PO BOX 784 SPRINGFIELD, OR 97477 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $2K | $2K | 0.01% |
| JD FULWILER AND COMPANY3 Filed as: JD FULWILER & CO INSURANCE | 5727 SW MACADAM AVE PORTLAND, OR 97239 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $2K | $2K | 0.01% |
| MJ INSURANCE3 Filed as: MJI INC. | PO BOX 847 MCMINNVILLE, OR 97128 | 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 | — | $1K | $1K | 0.01% |
| STRATEGY INSURANCE LLC3 Filed as: STRATEGY INSURANCE, LLC | PO BOX 217 TROUTDALE, OR 97060 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $896 | $896 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF WA INC DBA DIMARTI | 1325 FOURTH AVE, STE 1705 SEATTLE, WA 98101 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $826 | $826 | 0.00% |
| PROPEL INSURANCE AGENCY LLC3 Filed as: PROPEL INSURANCE AGENCY, INC. | 601 UNION ST, STE 3400 SEATTLE, WA 98101 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $602 | $602 | 0.00% |
| BOB HART INSURANCE INC3 Filed as: BOB HART INSURANCE, INC. | PO BOX 1240 GRANTS PASS, OR 97528 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $280 | $280 | 0.00% |
| PACIFIC CASCADE ADVISORS INC3 Filed as: PACIFIC CASCADE ADVISOR, INC. | 2401 W MAIN ST, STE 108 BATTLE GROUND, WA 98604 | REGENCE BLUECROSS BLUESHIELD OF OREGON | — | $170 | $170 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BROWN & BROWN OF WA, INC DBA DIMART EIN 91-0378940 NONE | Insurance services; Insurance agents and brokers; 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 15 | — | $615K |
| VIGILANT SERVICES, INC. EIN 93-0877675 SUBSIDIARY OF SPONSOR | Contract Administrator; Insurance agents and brokers; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general); Insurance services; Direct payment from the plan; Insurance brokerage commissions and fees; Consulting fees; Finders' fees / placement fees Service code 13 | — | $326K |
| VIMLY BENEFIT SOLUTIONS, INC. EIN 91-1603312 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Direct payment from the plan; Participant communication; Recordkeeping fees; Contract Administrator; Accounting (including auditing) Service code 10 | — | $208K |
| KPD INSURANCE, INC. EIN 86-2507515 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $89K |
| MJI INSURANCE/ HAGAN HAMILTON EIN 93-1067008 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $82K |
| ALDRICH BENEFITS LP EIN 20-0407135 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $72K |
| 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 | — | $66K |
| LAPORTE & ASSOCIATES, INC. EIN 93-0775110 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $54K |
| CONSILIUM BENEFIT ADVISORS EIN 93-0973312 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $38K |
| JD FULWILER & CO. INSURANCE, INC. EIN 93-0983491 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $34K |
| ASSUREDPARTNERS OF OREGON, LLC EIN 45-2712335 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $30K |
| 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 | — | $28K |
| 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 | — | $23K |
| STRATEGY INSURANCE, INC. NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | P.O. BOX 217 TROUTDALE, OR 97060 | $18K |
| SCHOEDEL & SCHOEDEL, CPAS, PLLC EIN 91-0614823 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| ROGUE BENEFIT PLANNING EIN 81-4526250 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $15K |
| PACIFIC CASCADE ADVISORS DBA GOLSAN EIN 91-1843783 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $15K |
| 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 | — | $13K |
| BUSINESS INSURANCE NW, LLC EIN 45-3533969 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $10K |
| HUGGINS INSURANCE SERVICES, INC. EIN 93-1097978 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $8K |
| CAPITAL FINANCIAL, PLC EIN 20-5078854 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $8K |
| CASCADE SUMMIT INSURANCE EIN 45-5393247 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $7K |
| OAK TREE INSURANCE, INC. EIN 83-0884200 NONE | Direct payment from the plan; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $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 | 2,456 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,456 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF OREGON | 3,625 | $22.1M |
| Dental | DELTA DENTAL OF WASHINGTON | 935 | $391K |
| Vision | VISION SERVICE PLAN | 1,213 | $98K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 29 | $612 |
| Prescription drug | REGENCE BLUECROSS BLUESHIELD OF OREGON | 3,625 | $22.1M |
| Other | LIFEMAP ASSURANCE COMPANY | 29 | $612 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,625 | — |
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.