| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES INC | 10000 SOUTHWEST WILSHIRE STREET SUITE B PORTLAND, OR 97225 | UNITEDHEALTHCARE INSURANCE COMPANY | $43K | — | $43K | 3.67% |
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES INC | 10000 SOUTHWEST WILSHIRE STREET #B PORTLAND, OR 97225 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $246 | $3K | 4.00% |
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES INC | 1000 SOUTHWEST WILSHIRE STREET #B PORTLAND, OR 97225 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $207 | $9K | 25.61% |
| H-C & ASSOCIATES3 Filed as: H-C & ASSOCIATES INC | 10000 SOUTHWEST WILSHIRE STREET #B PORTLAND, OR 97225 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $118 | $5K | 25.58% |
| H-C & ASSOCIATES3 Filed as: H-C ASSOCIATES HOLDINGS, INC | 10000 SOUTHWEST WILSHIRE STREET SUITE B PORTLAND, OR 97225 | VISION SERVICE PLAN | $1K | — | $1K | 7.03% |
| H-C & ASSOCIATES3 | 10000 SOUTHWEST WILSHIRE STREET SUITE B PORTLAND, OR 97225 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 15.08% |
| WESTPAC WEALTH PARTNERS LLC3 Filed as: WESTPAC WEALTH PARTNERS, LLC | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5 | — | $5 | 0.07% |
| H-C & ASSOCIATES3 | — | WILLAMETTE DENTAL INSURANCE, INC. | $595 | — | $595 | 9.99% |
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 | 149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 208 | $1.2M |
| Dental(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $91K |
| Vision | VISION SERVICE PLAN | 129 | $19K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $27K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $34K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 243 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.