| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TAMARA MARIE QUARRY3 | 5250 HARDING LANE SOUTHEAST TURNER, OR 97392 | AFLAC | $9K | $767 | $10K | 15.46% |
| TREVOR WILKS3 | 722 HIGHLAND AVENUE NORTHEAST SALEM, OR 97301 | AFLAC | $2K | $166 | $3K | 4.21% |
| VINCENT BRIAN VOLLMAR3 | 777 COMMERCIAL STREET SE, SUITE 20 SALEM, OR 97301 | AFLAC | $1K | $149 | $2K | 2.55% |
| PAULLA ANN WALKER3 | 601 IDYLWOOD DRIVE SOUTHEAST SALEM, OR 97302 | AFLAC | $1K | $0 | $1K | 1.62% |
| MJ INSURANCE3 Filed as: DAVID JOHN HANNANT & VARIOUS AGENTS | 14830 NORTHEAST 167TH STREET WOODINVILLE, WA 98072 | AFLAC | $535 | $0 | $535 | 0.84% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: NIEDERMEYER RISK MANGEMENT LLC | 9340 SOUTHWEST BEAVERTON HILLSDALE SUITE A BEAVERTON, OR 97005 | AFLAC | $109 | $0 | $109 | 0.17% |
| ANDREW N LUCCOCK3 Filed as: ANDREW N. LUCCOCK | 19766 WILDWOOD DRIVE WEST LINN, OR 97068 | AFLAC | $100 | $0 | $100 | 0.16% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: NIEDERMEYER RISK MANGEMENT LLC | UNKNOWN SALEM, OR 97303 | MEDICAL EYE SERVICES OF OREGON, INC. | $1K | $0 | $1K | 10.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | $5K | $26K | — |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | — |
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 | 327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 147 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 476 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 460 | $0 |
| Vision | MEDICAL EYE SERVICES OF OREGON, INC. | 270 | $13K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 460 | $63K |
| Other(2 contracts, 2 carriers) | AFLAC | 460 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 460 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.