| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY W. HARDING3 Filed as: GARY WILLIAM HARDING | SUITE 100 2 CENTERPOINTE DR LAKE OSWEGO, OR 97035 | NORTHWESTERN MUTUAL | — | $656 | $656 | 3.15% |
| TOM STEWART IN SOL INC3 | 655 W BROADWAY STE 1700 SAN DIEGO, CA 92101 | NORTHWESTERN MUTUAL | $55 | $13 | $68 | 0.33% |
| R SPRINTODDORGG058D240I3 | 300 PRIMERA BLVD STE 200 LAKE MARY, FL 32746 | NORTHWESTERN MUTUAL | — | $12 | $12 | 0.06% |
| BERRY NET OFF LLC3 | STE 200 1201 EDWARDS MILL RD RALEIGH, NC 27607 | NORTHWESTERN MUTUAL | $1 | $0 | $1 | 0.00% |
| GARY W. HARDING3 Filed as: GARY WILLIAM HARDING | SUITE 100 2 CENTERPOINTE DR LAKE OSWEGO, OR 97035 | NORTHWESTERN MUTUAL | — | $144 | $144 | 1.87% |
| WILLIAM STEELE ELLSWORTH3 | STE 540 1111 W JEFFERSON ST BOISE, ID 83702 | NORTHWESTERN MUTUAL | — | $6 | $6 | 0.08% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 22 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other(2 contracts) | NORTHWESTERN MUTUAL | 15 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15 | — |
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."
Final-filing indicator set. Plan is winding down; don't waste sales effort here.