| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRAFORD BENEFIT CONSULTANTS3 Filed as: CRAFORD & CRAFORD INC. | 805 SW BROADWAY SUITE 270 FOX TOWER PORTLAND, OR 97205 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $13K | — | $13K | 1.10% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENFITS, LLC | 111 SW COLUMBIA SUITE 500 PORTLAND, OR 97201 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $6K | — | $6K | 0.50% |
| CRAFORD BENEFIT CONSULTANTS3 Filed as: CRAFORD & CRAFORD INC. | 805 SW BROADWAY SUITE 2700 FOX TOWER PORTLAND, OR 97205 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $3K | $16K | 9.91% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 1.82% |
| CRAFORD BENEFIT CONSULTANTS3 Filed as: CRAFORD & CRAFORD INC. | 805 SW BROADWAY SUITE 2700 FOX TOWER PORTLAND, OR 97205 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $3K | $9K | 11.40% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 1.87% |
| CRAFORD BENEFIT CONSULTANTS3 Filed as: CRAFORD & CRAFORD | 990 5TH AVENUE SAN RAFAEL, CA 949016105 | VISION SERVICE PLAN | $1K | — | $1K | 2.04% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 606740001 | VISION SERVICE PLAN | $787 | — | $787 | 1.33% |
| CRAFORD BENEFIT CONSULTANTS3 Filed as: CRAFORD & CRAFORD INC. | 805 SW BROADWAY SUITE 2700 FOX TOWER PORTLAND, OR 97205 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $744 | $159 | $903 | 9.92% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $167 | — | $167 | 1.83% |
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 | 642 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 104 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 746 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 104 | $1.2M |
| Vision | VISION SERVICE PLAN | 521 | $59K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 642 | $163K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 581 | $78K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 104 | $1.2M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 642 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 642 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.