| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OUTSOURCING SERVICES, INC.3 | 5 CENTERPOINTE DRIVE SUITE 300 LAKE OSWEGO, OR 97035 | KAISER PERMANENTE | $22K | — | $22K | 1.40% |
| OUTSOURCING SERVICES, INC.3 | 5 CENTERPOINTE DRIVE SUITE 300 PORTLAND, OR 97035 | KAISER PERMANENTE | $11K | $400 | $12K | 2.08% |
| THE PARTNERS GROUP3 | 11740 SW 68TH PARKWAY SUITE 200 PORTLAND, OR 97223 | STANDARD INSURANCE COMPANY | $37K | $2K | $39K | 13.83% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | STANDARD INSURANCE COMPANY | — | $589 | $589 | 0.21% |
| THE PARTNERS GROUP3 | 11740 SW 68TH PARKWAY SUITE 200 PORTLAND, OR 97223 | STANDARD INSURANCE COMPANY | $16K | $1K | $17K | 12.95% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | STANDARD INSURANCE COMPANY | — | $301 | $301 | 0.23% |
| THE PARTNERS GROUP3 | 11740 SW 68TH PARKWAY SUITE 200 PORTLAND, OR 97223 | STANDARD INSURANCE COMPANY | $7K | $844 | $8K | 8.39% |
| C2 CENTRIC LLC3 | PO BOX 6824 GRAND RAPIDS, MI 49516 | STANDARD INSURANCE COMPANY | — | $201 | $201 | 0.21% |
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 | 575 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 581 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER PERMANENTE | 278 | $2.1M |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 575 | $283K |
| Short-term disability | STANDARD INSURANCE COMPANY | 369 | $133K |
| Long-term disability | STANDARD INSURANCE COMPANY | 202 | $95K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 26 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 575 | — |
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.