| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP3 | 11740 SW 68TH PARKWAY PORTLAND, OR 97223 | AETNA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 0.21% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC | PO BOX 29 SPRINGFIELD, OR 97477 | AFLAC | $2K | $0 | $2K | 12.80% |
| CAROL A. KENYON3 Filed as: CAROL KENYON | 1645 CLEVELAND HILL ROAD ROSEBURG, OR 97471 | AFLAC | $1K | $0 | $1K | 10.08% |
| MARCI MARIE OTIS3 Filed as: MARCI OTIS | 200 JULINA LANE ROSEBURG, OR 97471 | AFLAC | $1K | $0 | $1K | 10.08% |
| RUSSELL JENSEN3 | 2452 NW HUMMINGBIRD DRIVE CORVALLIS, OR 97330 | AFLAC | $811 | $0 | $811 | 5.85% |
| VINCENT BRIAN VOLLMAR3 Filed as: VINCENT VOLLMAR | 777 COMMERCIAL STREET SE, SUITE 20 SALEM, OR 97301 | AFLAC | $378 | $0 | $378 | 2.73% |
| MJ INSURANCE3 Filed as: BRADLEY SWANK AND VARIOUS AGENTS | PO BOX 872 SPRINGFIELD, OR 97477 | AFLAC | $211 | $0 | $211 | 1.52% |
| RICHARD E. SYFERT3 Filed as: RICHARD SEYFERT | PO BOX 917 PLEASANT HILL, OR 97455 | AFLAC | $156 | $0 | $156 | 1.13% |
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 | 222 | 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) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 369 | $1.9M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 369 | $2.0M |
| Vision | VISION SERVICE PLAN | 188 | $22K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 226 | $45K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 222 | $65K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 222 | $65K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 369 | $1.9M |
| Other(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 226 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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 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.