| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 111 SW COLUMBIA ST. #500 PORTLAND, OR 97201 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | — | $137 | $137 | 0.01% |
| LEUPOLD & STEVENS INC3 | 14400 NW GREENBRIER PARKWAY BEAVERTON, OR 97006 | STANDARD INSURANCE COMPANY | — | $5K | $5K | 3.52% |
| LEUPOLD & STEVENS INC3 | 14400 NW GREENBRIER PARKWAY BEAVERTON, OR 97006 | STANDARD INSURANCE COMPANY | — | $3K | $3K | 3.67% |
| LEUPOLD & STEVENS INC3 | 14400 NW GREENBRIER PARKWAY BEAVERTON, OR 97006 | STANDARD INSURANCE COMPANY | — | $2K | $2K | 3.75% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $985 | $985 | 1.87% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $331 | $331 | 1.88% |
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 | 659 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 9 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 668 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PROVIDENCE HEALTH PLAN | 847 | $6.5M |
| Dental(2 contracts, 2 carriers) | OREGON DENTAL SERVICE | 771 | $624K |
| Vision(2 contracts, 2 carriers) | PROVIDENCE HEALTH PLAN | 847 | $6.5M |
| Life insurance(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 673 | $201K |
| Short-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 673 | $142K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 673 | $108K |
| Prescription drug(2 contracts, 2 carriers) | PROVIDENCE HEALTH PLAN | 847 | $6.5M |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 673 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 847 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.