| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JD FULWILER AND COMPANY3 | 5727 SW MACADAM AVENUE PORTLAND, OR 97239 | PROVIDENCE HEALTH PLAN | $106K | $0 | $106K | 1.95% |
| MARGARET BRYANT3 | 18014 SW BELMORE AVENUE LAKE OSWEGO, OR 97035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17K | $4K | $21K | 10.59% |
| JD FULWILER AND COMPANY3 | 5727 SW MACADAM AVENUE PORTLAND, OR 97239 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19K | $0 | $19K | 9.53% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS GROUP, INC. | 112 NW 114TH STREET VANCOUVER, WA 98685 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $3K | $6K | 2.87% |
| ISAACSON INSURANCE AGENCY LLC3 Filed as: ISAACSON INSURANCE AGENCY, LLC | 1250 11TH STREET WEST LINN, OR 97068 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $1 | $1K | 0.55% |
| CHRISTINE LYNN MORGESTER3 | 14913 SOUTH SUNTERRA LOOP OREGON CITY, OR 97045 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $594 | $0 | $594 | 0.30% |
| KAREN CLAY KUNKLER3 Filed as: KAREN CLAY KINKLER | 415 SE 177TH AVENUE, UNIT 236 VANCOUVER, WA 98683 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $320 | $24 | $344 | 0.18% |
| HEARTSEASE LLC3 Filed as: HEARTSEASE, LLC | 1521 NE 63RD AVENUE HILSBORO, OR 97124 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $127 | $67 | $194 | 0.10% |
| JD FULWILER AND COMPANY3 | 5727 SW MACADAM AVENUE PORTLAND, OR 97239 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | $4K | $11K | 6.16% |
| JD FULWILER AND COMPANY3 | 5727 SW MACADAM AVENUE PORTLAND, OR 97239 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.59% |
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 | 406 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 409 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 602 | $5.4M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 698 | $175K |
| Vision | VISION SERVICE PLAN | 285 | $32K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 698 | $371K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 146 | $196K |
| Prescription drug | PROVIDENCE HEALTH PLAN | 602 | $5.4M |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 698 | $379K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 698 | — |
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.