| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASCADE EAST BENEFITS, INC.3 Filed as: CASCADE EAST BENEFITS | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $39K | $0 | $39K | 2.59% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $8K | $0 | $8K | 0.51% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $7K | $0 | $7K | 0.48% |
| CENTURY INSURANCE GROUP LLC3 | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $7K | $0 | $7K | 0.45% |
| WALDO INSURANCE, INC.3 Filed as: WALDO INSURANCE | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $5K | $0 | $5K | 0.34% |
| STRATTON INSURANCE SERVICES3 | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $5K | $0 | $5K | 0.30% |
| WARD INS. AGENCY AND OTHER AGENTS3 | UNKNOWN BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $3K | $0 | $3K | 0.20% |
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 | 197 | 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) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PACIFICSOURCE HEALTH PLANS | 322 | $1.5M |
| Dental | PACIFICSOURCE HEALTH PLANS | 322 | $1.5M |
| Vision | PACIFICSOURCE HEALTH PLANS | 322 | $1.5M |
| Prescription drug | PACIFICSOURCE HEALTH PLANS | 322 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 322 | — |
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."
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.