| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J.L. JONES AND ASSOCIATES3 Filed as: J L JONES & ASSOCIATES | 700 COUNTRY CLUB ROAD EUGENE, OR 97401 | PROVIDENCE HEALTH PLAN | $43K | $0 | $43K | 3.00% |
| UNKNOWN3 | UNKNOWN EUGENE, OR 97402 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $5K | $0 | $5K | 5.00% |
| MARY ESTHER TAYLOR3 | PO BOX 70334 SPRINGFIELD, OR 97475 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $84 | $3K | 5.34% |
| KERR-CRUICKSHANK, INC.3 Filed as: KERR-CRUICKSHANK INC. | 11740 SW 68TH PARKWAY PORTLAND, OR 97223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 3.29% |
| EDWARD RICHARD ESTRADA3 Filed as: EDWARD ESTRADA AND MISC. AGENTS | 580 PATRICK LOOP COTTAGE GROVE, OR 97424 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $90 | $1K | 2.40% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM RICHARD MARQUESS | 575 SWEET GUM LANE EUGENE, OR 97401 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $184 | $784 | $968 | 2.03% |
| THOMAS TAYLOR3 Filed as: THOMAS MCKY TAYLOR | PO BOX 70334 SPRINGFIELD, OR 97475 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $641 | $51 | $692 | 1.45% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP LTD | 11740 SW 68TH PARKWAY PORTLAND, OR 97223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $475 | $0 | $475 | 0.99% |
| SUSAN ELLEN WARD3 | 1501 SW JORDAN STREET GRANTS PASS, OR 97526 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $396 | $0 | $396 | 0.83% |
| J.L. JONES AND ASSOCIATES3 Filed as: J L JONES & ASSOCIATES | 720 COUNTRY CLUB ROAD EUGENE, OR 97401 | VISION SERVICE PLAN | $882 | $0 | $882 | 6.44% |
| J.L. JONES AND ASSOCIATES3 Filed as: J L JONES & ASSOCIATES | 720 COUNTRY CLUB ROAD EUGENE, OR 97401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $576 | $0 | $576 | 10.00% |
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 | 165 | 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) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 169 | $1.4M |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 204 | $102K |
| Vision(2 contracts, 2 carriers) | PROVIDENCE HEALTH PLAN | 169 | $1.5M |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 166 | $54K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 41 | $48K |
| Prescription drug | PROVIDENCE HEALTH PLAN | 169 | $1.4M |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 166 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 204 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.