| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP3 | 1111 LAKE WASHINGTON BLVD N STE 400 RENTON, WA 98056 | REGENCE BLUE CROSS BLUE SHIELD OF OREGON | $92K | $2K | $94K | 3.12% |
| THE PARTNERS GROUP3 | 1111 LAKE WASHINGTON BLVD N STE 400 RENTON, WA 98056 | HARTFORD LIFE AND ACCIDENT | $20K | $2K | $23K | 15.55% |
| WATCHTOWER BENEFITS, LLC3 | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | HARTFORD LIFE AND ACCIDENT | $0 | $2K | $2K | 1.46% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE STE 100 PORTLAND, OR 97223 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $3K | $26 | $3K | 2.67% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | WILLAMETTE DENTAL INSURANCE, INC | $5K | $0 | $5K | 5.01% |
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 | 242 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 251 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | REGENCE BLUE CROSS BLUE SHIELD OF OREGON | 245 | $3.2M |
| Dental | WILLAMETTE DENTAL INSURANCE, INC | 132 | $95K |
| Vision | REGENCE BLUE CROSS BLUE SHIELD OF OREGON | 245 | $3.0M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 176 | $147K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 176 | $147K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 176 | $147K |
| Other | CANOPY | 471 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 471 | — |
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.