| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE LLC | PO BOX 784 SPRINGFIELD, OR 97477 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $86K | $86K | 4.73% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE LLC | PO BOX 784 SPRINGFIELD, OR 97477 | WILLAMETTE DENTAL INSURANCE, INC. | $4K | $0 | $4K | 5.00% |
| LISA BILGEN DE HERRERA3 Filed as: LISA DE HERRERA | 14830 AIRLIE ROAD MONMOUTH, OR 97361 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $57 | $2K | 9.78% |
| AMBER MACCABEE3 | PO BOX 861 PLEASANT HILL, OR 97455 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $781 | $66 | $847 | 3.48% |
| MARCI TALBURT3 | 4721 AZALEA GLEN ROAD GLENDALE, OR 97442 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $382 | $150 | $532 | 2.19% |
| WILLIAM MARQUESS3 | 575 SWEET GUM LANE EUGENE, OR 97401 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $124 | $186 | $310 | 1.27% |
| JASON STUBBS3 | PO BOX 867 CRESWELL, OR 97426 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $123 | $42 | $165 | 0.68% |
| MICHAEL LEROY ALLEY3 Filed as: MICHAEL ALLEY | 2189 SE 12TH AVENUE CANBY, OR 97013 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $146 | $0 | $146 | 0.60% |
| MJ INSURANCE3 Filed as: RAQUEL MONROY AND VARIOUS AGENTS | 817 NE DELP ROAD CAMAS, WA 98607 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $96 | $25 | $121 | 0.50% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE LLC | PO BOX 784 SPRINGFIELD, OR 97477 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 6.05% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE LLC | PO BOX 784 SPRINGFIELD, OR 97477 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $431 | $0 | $431 | 3.72% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC | PO BOX 29 SPRINGFIELD, OR 97477 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $148 | $0 | $148 | 1.28% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE LLC | PO BOX 784 SPRINGFIELD, OR 97477 | HARTFORD LIFE AND ACCIDENT | $842 | $0 | $842 | 10.00% |
| IMA, INC.3 Filed as: IMA INC | 136 EAST SOUTH TEMPLE, SUTIE 2300 SALT LAKE CITY, UT 84111 | HARTFORD LIFE AND ACCIDENT | $0 | $122 | $122 | 1.45% |
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 | 159 | 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) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 269 | $1.8M |
| Dental(2 contracts, 2 carriers) | WILLAMETTE DENTAL INSURANCE, INC. | 174 | $88K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 195 | $19K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 159 | $33K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 37 | $24K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 269 | $1.8M |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 1,256 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,256 | — |
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.