| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASCADE INSURANCE CENTER LLC3 Filed as: CASCADE EAST DBA JOHNSON BEN. PLAN. | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $193K | $0 | $193K | 2.41% |
| USI INSURANCE SERVICES LLC3 Filed as: STRATTON INS.DBA USI & VARIOUS AGTS | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $101K | $0 | $101K | 1.27% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE, INC. | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $26K | $0 | $26K | 0.32% |
| WHEATLAND FINANCIAL SERVICES, LLC3 | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $23K | $0 | $23K | 0.29% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE AND PRENTICE DBA USI INS. SV | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $19K | $0 | $19K | 0.24% |
| JACKSON INSURANCE AND FIN. SERVICES3 Filed as: JACKSON INS. AND FIN. SERV. | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $15K | $0 | $15K | 0.19% |
| CENTURY INSURANCE GROUP LLC3 Filed as: CENTURY INSURANCE GROUP, LLC | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $15K | $0 | $15K | 0.19% |
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 | 1,137 | 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) | 1,137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PACIFICSOURCE HEALTH PLANS | 1,774 | $8.0M |
| Dental | PACIFICSOURCE HEALTH PLANS | 1,774 | $8.0M |
| Vision | PACIFICSOURCE HEALTH PLANS | 1,774 | $8.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,774 | — |
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.
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.