| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC | PO BOX 29 SPRINGFIELD, OR 97477 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | $29K | $33K | 2.67% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC | PO BOX 784 SPRINGFIELD, OR 97477 | VISION SERVICE PLAN | $968 | $0 | $968 | 6.00% |
| PAULLA ANN WALKER3 | 601 IDYLWOOD DRIVE SE SALEM, OR 97302 | AFLAC | $820 | $0 | $820 | 6.12% |
| CAROLYN LENARD3 Filed as: CAROLYN LENARD AND OTHERS | 3742 LOLO PASS WAY NE SALEM, OR 97305 | AFLAC | $608 | $0 | $608 | 4.54% |
| LARRI B WHEELER3 Filed as: LARRI B. WHEELER | 81640 LOST VALLEY LANE DEXTER, OR 97431 | AFLAC | $151 | $0 | $151 | 1.13% |
| WILLIAM R MEDITZ3 | PO BOX 20475 KEIZER, OR 97307 | AFLAC | $101 | $0 | $101 | 0.75% |
| ALICIA J MATSON3 Filed as: ALICIA J. MATSON | 6027 ROLLETTI DRIVE SE SALEM, OR 97306 | AFLAC | $92 | $0 | $92 | 0.69% |
| MELINDA M HICKEY3 Filed as: MELINDA M. HICKEY | 4742 LIBERTY ROAD SALEM, OR 97302 | AFLAC | $71 | $0 | $71 | 0.53% |
| ABIGAIL BAUGHMAN3 | 38484 SHELBURN DRIVE SCIO, OR 97374 | AFLAC | $65 | $0 | $65 | 0.49% |
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 | 105 | 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) | 105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 247 | $1.2M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 247 | $1.2M |
| Vision | VISION SERVICE PLAN | 103 | $16K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 247 | $1.2M |
| Other | AFLAC | 21 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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.