| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES, INC. | 10000 SOUTHWEST WILSHIRE STREET SUITE B PORTLAND, OR 97225 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $32K | $688 | $33K | 2.04% |
| H-C & ASSOCIATES3 Filed as: HC & ASSOCIATES INC | 10000 SOUTHWEST WILSHIRE STREET SUITE B PORTLAND, OR 97225 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | — | $10K | 10.04% |
| H-C & ASSOCIATES3 | — | WILLAMETTE DENTAL INSURANCE, INC. | $3K | — | $3K | 8.00% |
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES INC | 10000 SOUTHWEST WILLSHORE STREET #B PORTLAND, OR 97225 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 17.00% |
| H-C & ASSOCIATES3 Filed as: H-C ASSOCIATES INC | 10000 SOUTHWEST WILSHORE STREET #B PORTLAND, OR 97225 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 17.00% |
| H-C & ASSOCIATES3 Filed as: H-C ASSOCIATES INC | 10000 SOUTHWEST WILSHORE STREET #B PORTLAND, OR 97225 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 17.00% |
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES INC | 10000 SOUTHWEST WILSHIRE STREET SUITE B PORTLAND, OR 97225 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 12.75% |
| PARAGON PARTNERS LTD3 Filed as: PARAGON PARTNERS LIMITED | 9420 EAST DOUBLETREE RANCH ROAD SUITE C-103 SCOTTSDALE, AZ 85258 | TRANSAMERICA LIFE INSURANCE COMPANY | $866 | — | $866 | 4.50% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 162 | $1.6M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $137K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $100K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 128 | $30K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 128 | $29K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 128 | $22K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 128 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.