| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP3 | 11850 SW 67TH, STE 100 PORTLAND, OR 97223 | COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP, LLC | 11850 SW 67TH AVE STE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.05% |
| INTERMEDIARY SERVICES LLC3 | 333 S STATE ST STE V # 283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.05% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 5.00% |
| INTERMEDIARY SERVICES LLC3 Filed as: INTERMEDIARY SERVICES, LLC | 333 S STATE ST, STE V #283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 5.00% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP, LLC | 11850 SW 67TH AVENUE, SUITE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| INTERMEDIARY SERVICES LLC3 | 333 S STATE STREET, SUITE V #283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| INTERMEDIARY SERVICES LLC3 Filed as: INTERMEDIARY SERVICES | 333 S STATE ST STE V #283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 5.00% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 10.00% |
| INTERMEDIARY SERVICES LLC3 | 333 S STATE ST, STE V #283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 10.00% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP, LLC | 11850 SW 67TH AVE STE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| INTERMEDIARY SERVICES LLC3 | 333 S STATE ST STE V # 283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| INTERMEDIARY SERVICES LLC3 | 333 S STATE ST, STE V #283 LAKE OSWEGO, OR 97034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| INTERMEDIARY SERVICES LLC3 | 333 S STATE STREET, SUITE V #283 LAKE OSWEGO, OR 97034 | ARAG INSURANCE COMPANY | $661 | $0 | $661 | 5.00% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, SUITE 100 PORTLAND, OR 97223 | ARAG INSURANCE COMPANY | $661 | $0 | $661 | 5.00% |
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 | 461 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 478 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | 867 | $804K |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 858 | $425K |
| Vision | EYEMED VISION CARE | 408 | $53K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 470 | $235K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 470 | $77K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 470 | $70K |
| Stop-loss / reinsurancereinsurance | COMMENCEMENT BAY RISK MANAGEMENT INSURANCE COMPANY | 867 | $804K |
| Other(6 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 470 | $643K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 867 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.