| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WOODRUFF-SAWYER & CO3 | 50 CALIFORNIA STREET, FLOOR 12 SAN FRANCISCO, CA 94111 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $5K | $7K | 3.54% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF OREGON LLC | 2000 PACIFIC AVE FOREST GROVE, OR 97116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $2K | $3K | 7.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NW LLC | PO BOX 749083 LOS ANGELES, CA 90074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 7.08% |
| BENEFIT & RISK MGMT. SERVICES3 | 80 IRON POINT CIR STE 200 FOLSOM, CA 95630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $716 | $716 | 1.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NW LLC | PO BOX 749083 LOS ANGELES, CA 90074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 11.21% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF OREGON LLC | 2000 PACIFIC AVE FOREST GROVE, OR 97116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $2K | $3K | 8.80% |
| BENEFIT & RISK MGMT. SERVICES3 | 80 IRON POINT CIR STE 200 FOLSOM, CA 95630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $331 | $331 | 1.07% |
| BENEFIT & RISK MGMT. SERVICES3 | 80 IRON POINT CIR STE 200 FOLSOM, CA 95630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $858 | $858 | 7.55% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF OREGON LLC | 2000 PACIFIC AVE FOREST GROVE, OR 97116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $283 | $572 | $855 | 7.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NW LLC | PO BOX 749083 LOS ANGELES, CA 90074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $854 | — | $854 | 7.51% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NW LLC | PO BOX 749083 LOS ANGELES, CA 90074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $839 | — | $839 | 11.08% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF OREGON LLC | 2000 PACIFIC AVE FOREST GROVE, OR 97116 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $297 | $438 | $735 | 9.71% |
| BENEFIT & RISK MGMT. SERVICES3 | 80 IRON POINT CIR STE 200 FOLSOM, CA 95630 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $202 | $202 | 2.67% |
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 | 132 | 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) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 121 | $2.1M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 117 | $197K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 117 | $197K |
| Life insurance(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 147 | $75K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 120 | $67K |
| Prescription drug(3 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 121 | $2.1M |
| Other(6 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 147 | $280K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 147 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.