| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MATTECHECK & ASSOCIATES3 | 610 S.W. ALDER, SUITE 310 PORTLAND, OR 97205 | PROVIDENCE HEALTH PLAN | $11K | — | $11K | 1.39% |
| MATTECHECK & ASSOCIATES3 | 610 S.W. ALDER, SUITE 310 PORTLAND, OR 97205 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.03% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 CAPITAL OF TEXAS HWY, STE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $229 | — | $229 | 0.29% |
| TODD ORGANIZATION LLC3 Filed as: TODD ORGANIZATION | 4949 MEADOWS ROAD, SUITE 320 LAKE OSWEGO, OR 97035 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 8.41% |
| TODD ORGANIZATION LLC3 Filed as: TODD ORGANIZATION | 4949 MEADOWS ROAD, SUITE 320 LAKE OSWEGO, OR 97035 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 6.33% |
| TODD ORGANIZATION LLC3 Filed as: TODD ORGANIZATION | 4949 MEADOWS ROAD, SUITE 320 LAKE OSWEGO, OR 97035 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 7.23% |
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 | 193 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 106 | $808K |
| Dental | STANDARD INSURANCE COMPANY | 103 | $78K |
| Life insurance | STANDARD INSURANCE COMPANY | 193 | $22K |
| Short-term disability | STANDARD INSURANCE COMPANY | 129 | $43K |
| Long-term disability | STANDARD INSURANCE COMPANY | 129 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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.