| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASCADE EAST BENEFITS, INC.3 Filed as: CASCADE EAST BENEFITS INC | 777 NW WALL STREET SUITE 100 BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $25K | $0 | $25K | 2.22% |
| JOHNSON BENEFIT GROUP, INC.3 Filed as: JOHNSON BENEFIT GROUP INC | 21550 WILLAMETTE DRIVE WEST LINN, OR 97415 | PACIFICSOURCE HEALTH PLANS | $13K | $0 | $13K | 1.15% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | 975 OAK STREET SUITE 900 EUGENE, OR 97401 | PACIFICSOURCE HEALTH PLANS | $7K | $0 | $7K | 0.64% |
| BARKER-UERLINGS INSURANCE3 Filed as: BARKER UERLINGS INSURANCE INC | 340 NW 5TH STREET CORVALLIS, OR 97330 | PACIFICSOURCE HEALTH PLANS | $4K | $0 | $4K | 0.37% |
| DARRIN MICHAEL BEEH3 | 4710 VILLAGE PLAZA LOOP EUGENE, OR 97401 | PACIFICSOURCE HEALTH PLANS | $3K | $0 | $3K | 0.22% |
| JACKSON INSURANCE AND FIN. SERVICES3 Filed as: JACKSON INSURANCE AND FIN SRVC | 17 NW HAWTHORNE AVENUE SUITE 1 BEND, OR 97703 | PACIFICSOURCE HEALTH PLANS | $2K | $0 | $2K | 0.15% |
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 | 149 | 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) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PACIFICSOURCE HEALTH PLANS | 149 | $1.1M |
| Dental | PACIFICSOURCE HEALTH PLANS | 149 | $1.1M |
| Vision | PACIFICSOURCE HEALTH PLANS | 149 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.
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.