| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING - SEATTLE | 81420 5TH AVENUE SEATTLE, WA 981014030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $32K | $8K | $40K | 6.25% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINISTRAT | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 2.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - SEATTLE | 81420 5TH AVENUE SEATTLE, WA 981014030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $8K | $8K | 1.25% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - SEATTLE | 81420 5TH AVENUE SEATTLE, WA 981014030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $40K | $3K | $43K | 16.25% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT ADMINISTRAT | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 2.00% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - SEATTLE | PO BOX 905494 CHARLOTTE, NC 282905494 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $17K | $2K | $19K | 16.18% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVENUE PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 4.38% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT | ADMINISTRATION INC. PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 2.99% |
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 | 1,024 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,025 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL INSURANCE, INC. | 592 | $376K |
| Vision | VISION SERVICE PLAN | 882 | $141K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,024 | $267K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,328 | $611K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,162 | $648K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,275 | $438K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,328 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.