| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WOODRUFF-SAWYER & CO3 | 1001 SW 5TH AVE., STE 1000 PORTLAND, OR 97204 | UNITEDHEALTHCARE INSURANCE COMPANY | $19K | — | $19K | 3.02% |
| WOODRUFF-SAWYER & CO3 | 50 CALIFORNIA STREET, FLOOR 12 SAN FRANCISCO, CA 94111 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $11K | $227 | $11K | 3.12% |
| WOODRUFF-SAWYER & CO3 | 1001 SW 5TH AVE., STE 1000 PORTLAND, OR 97204 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $2K | $6K | 5.69% |
| WOODRUFF-SAWYER & CO3 | 101 SW 5TH AVE STE 1000 PORTLAND, OR 97204 | LIFEMAP ASSURANCE COMPANY | $6K | — | $6K | 9.54% |
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 112 | $1.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 310 | $101K |
| Vision(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 112 | $1.0M |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 110 | $67K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 110 | $67K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 110 | $67K |
| Prescription drug(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 112 | $1.0M |
| Other | LIFEMAP ASSURANCE COMPANY | 110 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.