| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEFFERNAN INSURANCE BROKERS3 | 5100 SW MACADAM AVE SUITE 440 PORTLAND, OR 97239 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $146K | — | $146K | 34.86% |
| HEFFERNAN INSURANCE BROKERS3 | 5 HANOVER SQUARE 22ND FLOOR NEW YORK, NY 10004 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 13.61% |
| PACIFIC ADVISORS OF OREGON LLC3 | 200 SW MARKET ST 31850 PORTLAND, OR 97201 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $178 | $0 | $178 | 0.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM | Participant communication; Float revenue; Other services; Non-monetary compensation; Claims processing; Contract Administrator; Direct payment from the plan; Named fiduciary Service code 12 | — | $0 |
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 | 340 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 340 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 340 | $419K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 340 | $419K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 340 | $419K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 71 | $38K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 71 | $38K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 71 | $38K |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 71 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.