No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST EIN 82-1368960 BROKER | Insurance agents and brokers Service code 22 | 7150 SW HAMPTION ST SUITE 140 TIGARD, OR 97223 | $29K |
| ASSOCIATED OREGON LOGGERS HEALTH BE EIN 93-0577235 ADMINISTRATION | Contract Administrator Service code 13 | 2015 MADRONA AVENUE SE SALEM, OR 97302 | $16K |
| TAILORWELL HOLDINGS INC EIN 47-2419911 ADMINISTRATION/TPA | Accounting (including auditing); Contract Administrator Service code 10 | 1631 15TH AVENUE WEST SUITE 312 SEATTLE, WA 98119 | $16K |
| AOL SERVICES, INC. EIN 93-0718042 BROKER | Insurance agents and brokers Service code 22 | 2015 MADRONA AVENUE SE SALEM, OR 97302 | $2K |
| INTEGRITY INSURANCE & BONDING, INC EIN 83-2592381 BROKER | Insurance agents and brokers Service code 22 | 9201 SE 91ST AVE SUITE 220 HAPPY VALLEY, OR 97086 | $492 |
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 | 355 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 355 | $736K |
| Dental | HEALTH NET | 355 | $736K |
| Vision | HEALTH NET | 355 | $736K |
| Prescription drug | HEALTH NET | 355 | $736K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.