| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | TIMOTHY EDWARD HENNESSY PO BOX 1185 CORVALLIS, OR 97339 | PACIFICSOURCE HEALTH PLANS | $30K | — | $30K | 1.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OR OREGON LLC | PO BOX 29018 PORTLAND, OR 97296 | PACIFICSOURCE HEALTH PLANS | $21K | — | $21K | 1.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN NORTHWEST INSURANCE | 2701 NW VAUGHN ST., SUITE 340 PORTLAND, OR 97210 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $3K | — | $3K | 2.75% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | PO BOX 29018 PORTLAND, OR 972960018 | WILLAMETTE DENTAL GROUP | $2K | — | $2K | 2.96% |
| GENE BISSINGER3 Filed as: GENE KIEL & ASSOCIATES | PO BOX 1185 CORVALLIS, OR 97339 | WILLAMETTE DENTAL GROUP | $1K | — | $1K | 2.04% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | PO BOX 1185 CORVALLIS, OR 97339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 5.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | PO BOX 1185 PORTLAND, OR 972960018 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $804 | — | $804 | 2.21% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | PO BOX 29018 PORTLAND, OR 972960018 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 7.59% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | PO BOX 1185 CORVALLIS, OR 97339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 7.41% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | PO BOX 1185 CORVALLIS, OR 97339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 7.49% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | PO BOX 29018 PORTLAND, OR 972960018 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 4.67% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH ST CORVALLIS, OR 97333 | VISION SERVICE PLAN | $628 | — | $628 | 4.16% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | PO BOX 1185 CORVALLIS, OR 97339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $689 | — | $689 | 6.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | PO BOX 29018 PORTLAND, OR 972960018 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $611 | — | $611 | 5.49% |
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 | 220 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 221 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PACIFICSOURCE HEALTH PLANS | 215 | $2.0M |
| Dental(2 contracts, 2 carriers) | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 121 | $165K |
| Vision | VISION SERVICE PLAN | 213 | $15K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 220 | $11K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 217 | $36K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 220 | $28K |
| Prescription drug | PACIFICSOURCE HEALTH PLANS | 215 | $2.0M |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 220 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 220 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.