| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALTZ SHERIDAN CRAWFORD INC.3 Filed as: WALTZ SHERIDAN CRAWFORD | PO BOX 128 FOREST GROVE, OR 97116 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 4.03% |
| DAVIDSON BENEFITS PLANNING LLC3 | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $1K | $6K | 2.60% |
| WALTZ SHERIDAN CRAWFORD INC.3 Filed as: WALTZ SHERIDAN CRAWFORD | PO BOX 128 FOREST GROVE, OR 97116 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 10.03% |
| DAVIDSON BENEFITS PLANNING LLC3 | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $297 | $3K | 5.58% |
| WALTZ SHERIDAN CRAWFORD INC.3 Filed as: WALTZ SHERIDAN CRAWFORD INC | PO BOX 128 FOREST GROVE, OR 97116 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $83K | $4K | $87K | — |
| DAVIDSON BENEFITS PLANNING LLC3 | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $42K | — | $42K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT HELP SOLUTIONS EIN 93-1135521 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $11K |
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 | 504 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 510 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 948 | $0 |
| Dental | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 948 | $0 |
| Vision | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 948 | $0 |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 479 | $266K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 479 | $218K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 479 | $218K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 948 | $0 |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 479 | $218K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 948 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.