| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | PO BOX 29018 PORTLAND, OR 97296 | PACIFICSOURCE HEALTH PLANS | $64K | — | $64K | 2.70% |
| 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 | $4K | — | $4K | 3.27% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN NORTHWEST INSURANCE | PO BOX 29018 PORTLAND, OR 97296 | WILLAMETTE DENTAL INSURANCE, INC. | $4K | — | $4K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NORTH WEST VAUGHEN STE 340 PORTLAND, OR 97210 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $833 | $5K | 10.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NORTH WEST VAUGHEN STE 340 PORTLAND, OR 97210 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $749 | $4K | 8.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NORTH WEST VAUGHEN STE 340 PORTLAND, OR 97210 | LIFE INSURANCE COMPANY OF AMERICA | $3K | $343 | $3K | 15.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN NORTHWEST | PO BOX 29018 PORTLAND, OR 972969018 | VISION SERVICE PLAN | $1K | — | $1K | 5.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NORTH WEST VAUGHEN STE 340 PORTLAND, OR 97210 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $197 | $2K | 16.73% |
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 | 244 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PACIFICSOURCE HEALTH PLANS | 257 | $2.4M |
| Dental(2 contracts, 2 carriers) | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 186 | $187K |
| Vision | VISION SERVICE PLAN | 259 | $18K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 244 | $47K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 242 | $44K |
| Long-term disability | LIFE INSURANCE COMPANY OF AMERICA | 244 | $20K |
| Prescription drug | PACIFICSOURCE HEALTH PLANS | 257 | $2.4M |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 244 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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.