| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY JONES3 | 720 COUNTRY CLUB ROAD EUGENE, OR 97401 | KAISER FOUNDATION HEALTH PLAN INC | $13K | $0 | $13K | 2.82% |
| JEFFREY JONES3 | 720 COUNTRY CLUB ROAD EUGENE, OR 97401 | KAISER FOUNDATION HEALTH PLAN INC | $4K | $0 | $4K | 1.84% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN INC | $3K | $0 | $3K | 1.13% |
| J.L. JONES AND ASSOCIATES3 Filed as: JL JONES AND ASSOCIATES | 720 COUNTRY CLUB ROAD EUGENE, OR 97401 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 10.41% |
| J.L. JONES AND ASSOCIATES3 Filed as: JL JONES AND ASSOCIATES | PO BOX 1657 SPRINGFIELD, WA 97477 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $802 | $0 | $802 | 8.07% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $616 | $106 | $722 | 7.26% |
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 | 103 | 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) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 81 | $696K |
| Dental(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 81 | $696K |
| Vision(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 81 | $696K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 103 | $35K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 103 | $35K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 81 | $696K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 103 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 103 | — |
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.