| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY W. HARDING3 | 2 CENTERPOINTE DRIVE, SUITE 100 LAKE OSWEGO, OR 97035 | NORTHWESTERN MUTUAL | $0 | $673 | $673 | 2.45% |
| CAM GROUP LLC3 Filed as: CAM GROUP | 200 S.W. MARKET STREET, SUITE 1600 PORTLAND, OR 97201 | NORTHWESTERN MUTUAL | $54 | $13 | $67 | 0.24% |
| NEWPORT GROUP3 Filed as: THE NEWPORT GROUP | 300 PRIMERA BLVD., SUITE 200 LAKE MARY, FL 32746 | NORTHWESTERN MUTUAL | $0 | $13 | $13 | 0.05% |
| CAROLINA CONDREY GROUP3 | 1201 EDWARDS MILL ROAD, SUITE 200 RALEIGH, NC 27607 | NORTHWESTERN MUTUAL | $2 | $0 | $2 | 0.01% |
| GARY W. HARDING3 | 2 CENTERPOINTE DRIVE, SUITE 100 LAKE OSWEGO, OR 97035 | NORTHWESTERN MUTUAL | $0 | $130 | $130 | 1.99% |
| WILLIAM STEELE ELLSWORTH3 | 1111 W. JEFFERSON STREET, SUITE 540 BOISE, ID 83702 | NORTHWESTERN MUTUAL | $0 | $6 | $6 | 0.09% |
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 | 25 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 25 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other(2 contracts) | NORTHWESTERN MUTUAL | 18 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 18 | — |
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."
No prospect flags tripped on this filing.