| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT UNITED INSURANCE SERVICES | 2358 MARITIME DR, STE 100 ELK GROVE, CA 95758 | MODA HEALTH PLANS, INC | $38K | $0 | $38K | 2.94% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | MODA HEALTH PLANS, INC | $9K | $0 | $9K | 0.66% |
| LEAVITT GROUP3 Filed as: LEAVITT UNITED INSURANCE SERVICES | 2358 MARITIME DR, STE 100 ELK GROVE, CA 95758 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $2K | $0 | $2K | 1.85% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $387 | $0 | $387 | 0.40% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA, STE 101 SAN JOSE, CA 95126 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 13.72% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $288 | $96 | $384 | 1.72% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA, STE 101 SAN JOSE, CA 95126 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 15.09% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | -$15 | -$5 | -$20 | -0.13% |
| LEAVITT GROUP3 Filed as: LEAVITT UNITED INSURANCE SERVICES | 2358 MARITIME DR, STE 100 ELK GROVE, CA 95758 | VISION SERVICE PLAN | $681 | $0 | $681 | 4.92% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | VISION SERVICE PLAN | $386 | $0 | $386 | 2.79% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN RD, STE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $7 | $0 | $7 | 0.05% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA, STE 101 SAN JOSE, CA 95126 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $176 | $0 | $176 | 8.49% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $31 | $16 | $47 | 2.27% |
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 | 111 | 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) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MODA HEALTH PLANS, INC | 110 | $1.3M |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 144 | $97K |
| Vision | VISION SERVICE PLAN | 166 | $14K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 146 | $24K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 4 | $16K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 250 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.