| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JD FULWILER AND COMPANY3 Filed as: JD FULWILER & COMPANY INSURANCE | 5727 SW MACADAM AVE PORTLAND, OR 97239 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $11K | $3K | $14K | 2.00% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC DBA CSNW BENEFITS | 1437 SW COLUMBIA ST PORTLAND, OR 97201 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $11K | — | $11K | 1.59% |
| JD FULWILER AND COMPANY3 Filed as: JD FULWILER & COMPANY INSURANCE | 5727 SW MACADAM AVE PORTLAND, OR 97239 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 5.93% |
| COMPENSATION SYSTEMS NORTHWEST, INC3 Filed as: COMPENSATION SYSTEMS NORTHWEST INC | 1437 SW COLUMBIA ST PORTLAND, OR 97202 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 5.55% |
| JD FULWILER AND COMPANY3 Filed as: JD FULWILER & COMPANY INSURANCE | 5727 SW MACADAM AVE PORTLAND, OR 972393765 | VISION SERVICE PLAN | $646 | — | $646 | 3.56% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 139 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 102 | $18K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 139 | $98K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 139 | $98K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 139 | $98K |
| Other | HARTFORD LIFE AND ACCIDENT | 139 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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.