| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RHODES WARDEN INS AGCY3 Filed as: RHODES-WARDEN INSURANCE INC | PO BOX 8 LEBANON, OR 97355 | HEALTH NET | $23K | — | $23K | 2.99% |
| RHODES WARDEN INS AGCY3 | PO BOX 8 LEBANON, OR 97355 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 3.45% |
| TIFFANY M HEBERT3 | 567 SOUTHEAST CYPRESS AVENUE DALLAS, OR 97338 | AFLAC | $2K | — | $2K | 5.61% |
| RHODES WARDEN INS AGCY3 Filed as: RHODES-WARDEN INSURANCE, INC. | PO BOX 8 LEBANON, OR 97355 | AFLAC | $521 | — | $521 | 1.65% |
| ALICIA J MATSON3 | 6027 ROLLETTI DRIVE SOUTHEAST SALEM, OR 97306 | AFLAC | $320 | — | $320 | 1.02% |
| JOYCE ANN HARRER3 | 8555 NORTHEAST DOG RIDGE ROAD NEWBERG, OR 97132 | AFLAC | $228 | — | $228 | 0.72% |
| VINCENT BRIAN VOLLMAR3 | 3295 TRIANGLE DRIVE SOUTHEAST SUITE 120 SALEM, OR 97302 | AFLAC | $225 | — | $225 | 0.71% |
| ROBERT ALLEN WHEELER3 | 645 NORTHWEST EVE DRIVE DALLAS, OR 97338 | AFLAC | $216 | — | $216 | 0.69% |
| THERESA LYNN HANE3 | PO BOX 2996 LA PINE, OR 97739 | AFLAC | $176 | — | $176 | 0.56% |
| VINCENT BRIAN VOLLMAR3 | 5885 MEADOWS ROAD SUITE 320 LAKE OSWEGO, OR 97035 | AFLAC | $143 | — | $143 | 0.45% |
| MARCI MARIE OTIS3 | 200 JULINA LANE ROSEBURG, OR 97471 | AFLAC | $142 | — | $142 | 0.45% |
| JOSEPH P TYRRELL3 | 468 EAST FOREST RIDGE DRIVE MERIDIAN, ID 83642 | AFLAC | $80 | — | $80 | 0.25% |
| MARK A MCRAE3 | 375 NORTHEAST SOUTH NEBERGALL LOOP ALBANY, OR 97321 | AFLAC | $73 | — | $73 | 0.23% |
| RAYMON P KEECH III3 | 8207 CAMPAIGN CIRCLE RICHMOND, TX 77406 | AFLAC | $66 | — | $66 | 0.21% |
| TREVOR WILKS3 | 722 HIGHLAND AVENUE NORTHEAST SALEM, OR 97301 | AFLAC | $58 | — | $58 | 0.18% |
| JOSHUA ANDERSON3 | 1341 NORTH 16TH STREET MONMOUTH, OR 97361 | AFLAC | $50 | — | $50 | 0.16% |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL MICHAEL HANNANT | 6052 SAWGRASS STREET SOUTHEAST SALEM, OR 97306 | AFLAC | $37 | — | $37 | 0.12% |
| PAULA LYNN BIRCHFIELD3 | 1585 WAVERLY DRIVE SOUTHEAST APARTMENT 101 ALBANY, OR 97322 | AFLAC | $21 | — | $21 | 0.07% |
| KIMBERLY A PARKS3 | 3702 30TH AVENUE SOUTHEAST OLYMPIA, WA 98501 | AFLAC | $21 | — | $21 | 0.07% |
| SHANE EDMUND ATTEBERY3 | 391 RANDY DRIVE GRANTS PASS, OR 97527 | AFLAC | $19 | — | $19 | 0.06% |
| MATTHEW G BERGER3 Filed as: MATTHEW SHROYER | 1384 NORTHEAST 70TH AVENUE PORTLAND, OR 97213 | AFLAC | $16 | — | $16 | 0.05% |
| ZINA SHADRIN3 | PO BOX 1704 LAKE OSWEGO, OR 97035 | AFLAC | $13 | — | $13 | 0.04% |
| CAMERON CARRILLO3 | 22556 SOUTHWEST 96TH DRIVE TUALATIN, OR 97062 | AFLAC | $12 | — | $12 | 0.04% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NORTHEAST 167TH STREET WOODINVILLE, WA 98072 | AFLAC | $11 | — | $11 | 0.03% |
| G SCOTT COOKE3 Filed as: SCOTT E NIELSEN | 718B WEST FOURTH PLAIN BOULEVARD VANCOUVER, WA 98660 | AFLAC | $10 | — | $10 | 0.03% |
| PAULLA ANN WALKER3 | 601 IDYLWOOD DRIVE SOUTHEAST SALEM, OR 97302 | AFLAC | $9 | — | $9 | 0.03% |
| ROBIN D HUDSON3 | 22100 NORTHEAST HALSEY STREET APARTMENT 354 FAIRVIEW, OR 97024 | AFLAC | $9 | — | $9 | 0.03% |
| NATHAN HANSEN3 | 745 EAST DUSTY CREEK AVENUE SANDY, UT 84094 | AFLAC | $8 | — | $8 | 0.03% |
| KIMBERLY A PARKS3 | 19818 NORTH 147TH DRIVE SUN CITY WEST, AZ 85375 | AFLAC | $5 | — | $5 | 0.02% |
| G SCOTT COOKE3 Filed as: SCOTT E NIELSEN | 2709 DAY ISLAND BOULEVARD WEST UNIT A UNIVERSITY PLACE, WA 98466 | AFLAC | $5 | — | $5 | 0.02% |
| IOANNIS T GRATSINOPOULOS3 | 3565 SUMMERLINN DRIVE WEST LINN, OR 97068 | AFLAC | $5 | — | $5 | 0.02% |
| RHODES WARDEN INS AGCY3 Filed as: RHODES-WARDEN INS. AGENCY INC. | — | WILLAMETTE DENTAL INSURANCE, INC. | $722 | — | $722 | 5.00% |
| RHODES WARDEN INS AGCY3 | PO BOX 8 LEBANON, OR 97355 | STANDARD INSURANCE COMPANY | $680 | — | $680 | 6.30% |
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 | 124 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 113 | $780K |
| Dental(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 74 | $72K |
| Life insurance | STANDARD INSURANCE COMPANY | 130 | $11K |
| Other(2 contracts, 2 carriers) | AFLAC | 130 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.