| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BCI GROUP, INC.3 | 6979 SE LAKE ROAD PORTLAND, OR 97267 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $59K | — | $59K | 1.94% |
| BCI GROUP, INC.3 | 6979 SE LAKE ROAD PORTLAND, OR 97267 | GROUP HEALTH OPTIONS, INC. | $16K | — | $16K | 2.11% |
| RISKPOINT INSURANCE ADVISORS LLC3 Filed as: RISKPOINT INSURANCE ADVISORS, LLC | 5285 MEADOWS ROAD, SUITE 242 LAKE OSWEGO, OR 97035 | AMERICAN FIDELITY ASSURANCE COMPANY | $11K | — | $11K | 5.00% |
| OREGON AUTOMOBILE DEALER3 | UNKNOWN PORTLAND, OR 97232 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $5K | $5K | 2.22% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $876 | — | $876 | 0.38% |
| AMERICAN FIDELITY GENERAL AGENCY3 | UNKNOWN BEAVERTON, OR 97005 | AMERICAN UNITED LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
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 | 317 | 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) | 317 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 517 | $3.8M |
| Dental(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 517 | $3.8M |
| Vision(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 517 | $3.8M |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 574 | $49K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 158 | $229K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 158 | $229K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 517 | $3.8M |
| Other(2 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 574 | $278K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 574 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.