| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM R MEDITZ3 Filed as: WILLIAM R. MEDITZ AND OTHER AGENTS | PO BOX 20475 KEIZER, OR 97307 | AFLAC | $3K | $93 | $3K | 3.48% |
| SHEREEN EMDE3 | 6449 HIGHWAY 219 NE GERVAIS, OR 97026 | AFLAC | $2K | $463 | $2K | 2.32% |
| MAPS SERVICE AGENCY INC3 | 1900 HINES STREET SE, SUITE 100 SALEM, OR 97302 | AFLAC | $2K | — | $2K | 2.11% |
| ALICIA J MATSON3 Filed as: ALICIA J. MATSON | 3295 TRIANGLE DRIVE SE, SUITE 100 SALEM, OR 97302 | AFLAC | $2K | $93 | $2K | 1.75% |
| GUY R SOUTER3 Filed as: GUY R. SOUTER | 2350 OAKMONT WAY, SUITE 207 EUGENE, OR 97401 | AFLAC | $979 | — | $979 | 1.06% |
| JAMES F TUOR3 Filed as: JAMES F. TUOR | 22416 NORTH ARRELLAGA DRIVE SUN CITY WEST, AZ 85375 | AFLAC | $727 | — | $727 | 0.79% |
| KENNETH MAGEE3 | 3760 MARKET STREET NE, SUITE 347 SALEM, OR 97301 | AFLAC | $456 | $93 | $549 | 0.59% |
| CU BENEFITS ALLIANCE3 | 1500 NW BETHANY BOULEVARD SUITE 330 BEAVERTON, OR 97006 | WILLAMETTE DENTAL INSURANCE, INC. | $2K | — | $2K | 5.00% |
| CU BENEFITS ALLIANCE3 | 451 DIVISION STREET NE SALEM, OR 97301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $1K | $5K | 15.12% |
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 | 202 | 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) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL INSURANCE, INC. | 115 | $50K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 202 | $36K |
| Short-term disability | AFLAC | 127 | $92K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 202 | $36K |
| Other(2 contracts, 2 carriers) | AFLAC | 202 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.