| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WOOD GUTMANN & BOGART INSURANCE3 Filed as: WOOD GUTMANN BOGART INS BROKERS | — | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC | $23K | $0 | $23K | 2.87% |
| WOOD GUTMANN & BOGART INSURANCE3 Filed as: WOOD GUTMANN BOGART INS BROKERS | — | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.79% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.77% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $535 | $0 | $535 | 3.04% |
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 | 137 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC | 132 | $806K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 211 | $103K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 211 | $103K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 124 | $18K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 124 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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.