| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEST COAST INSURANCE SERVICES INC3 Filed as: WEST COAST INSURANCE SERVICES INC. | 916 MAIN STREET VANCOUVER, WA 98660 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $848 | $5K | 1.92% |
| SIMPLIFY INSURANCE LLC3 Filed as: SIMPLIFY BENEFITS INC | 605 PORTLAND AVENUE, SUITE 531 GLADSTONE, OR 97027 | AFLAC | $680 | $0 | $680 | 10.48% |
| PAUL LANGAS3 Filed as: PAUL JON LANGAS | 4025 NW 77TH AVENUE CAMAS, WA 98607 | AFLAC | $206 | $0 | $206 | 3.17% |
| MICHAEL C WALKER3 Filed as: MICHAEL M. STASTNY | 605 PORTLAND AVENUE, SUITE 531 GLADSTONE, OR 97027 | AFLAC | $134 | $0 | $134 | 2.07% |
| MJ INSURANCE3 Filed as: BRIAN L HUGGER AND VARIOUS AGENTS | 10117 SE SUNNYSIDE ROAD, SUITE F52 CLACKAMAS, OR 97015 | AFLAC | $23 | $0 | $23 | 0.35% |
| DEREK SOMMERS3 | 518 NORTH 39TH PLACE RIDGEFIELD, WA 98642 | AFLAC | $20 | $0 | $20 | 0.31% |
| VIRGINIA L KNOPSKI3 Filed as: VIRGINIA L. KNOPSKI | 17001 MILL LANE LONG BEACH, WA 98631 | AFLAC | $9 | $0 | $9 | 0.14% |
| MATTHEW G BERGER3 Filed as: MATTHEW A. BUMALA | 11504 NW 30TH COURT VANCOUVER, WA 98685 | AFLAC | $7 | $0 | $7 | 0.11% |
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 | 371 | 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) | 371 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 632 | $409K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 632 | $254K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 632 | $254K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 632 | $254K |
| Other(2 contracts, 2 carriers) | CASCADE CENTERS, INC. | 350 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 632 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.