| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP, LLC | 7140 SOUTHWEST FIR LOOP #220 PORTLAND, OR 97223 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $12K | $208 | $12K | 1.01% |
| NORTHWEST BENEFITS GROUP INC3 | 6975 SOUTHWEST SANDBURG ROAD #370 TIGARD, OR 97223 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $10K | $975 | $11K | 0.92% |
| NORTHWEST BENEFITS GROUP INC3 Filed as: NORTHWEST BENEFITS GROUP INC. | 7140 SOUTHWEST FIR LOOP SUITE 220 TIGARD, OR 97223 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 3.99% |
| MATRIX INSURANCE MARKETING, INC.3 Filed as: MATRIX INSURANCE MARKETING INC. | 11820 NORTHUP WAY SUITE E 101 BELLEVUE, WA 98005 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 2.67% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP LLC | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | COMPANION LIFE INSURANCE COMPANY | $823 | — | $823 | 1.34% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP LLC | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 6.39% |
| NORTHWEST BENEFITS GROUP INC3 | 6975 SOUTHWEST SANDBURG ROAD SUITE 370 TIGARD, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 5.19% |
| NORTHWEST BENEFITS GROUP INC3 | 6975 SOUTHWEST SANDBURG ROAD SUITE 370 TIGARD, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 12.04% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 198 | $1.2M |
| Dental | COMPANION LIFE INSURANCE COMPANY | 87 | $61K |
| Vision | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 198 | $1.2M |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 128 | $74K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 128 | $74K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 128 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.