| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP3 | 11850 SW 67TH AVENUE, SUITE 100 PORTLAND, OR 97223 | PROVIDENCE HEALTH PLAN | $46K | $0 | $46K | 2.50% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1325 FOURTH AVENUE, SUITE 1705 SEATTLE, WA 98101 | PROVIDENCE HEALTH PLAN | $10K | $0 | $10K | 0.54% |
| THE PARTNERS GROUP3 Filed as: THE PARTNERS GROUP, LTD | 11850 SW 67TH AVENUE, SUITE 100 PORTLAND, OR 97223 | HARTFORD LIFE AND ACCIDENT | $11K | $7K | $18K | 13.28% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1325 FOURTH AVENUE, SUITE 1705 SEATTLE, WA 98101 | HARTFORD LIFE AND ACCIDENT | $3K | $0 | $3K | 1.98% |
| THE PARTNERS GROUP3 | 1111 LAKE WASHINGTON BOULEVARD NORTH, SUITE 400 RENTON, OR 98056 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $850 | $0 | $850 | 4.93% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVENUE, SUITE 100 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $306 | $2K | 69.91% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVENUE, SUITE 100 PORTLAND, OR 97223 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $228 | $30 | $258 | 17.00% |
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 | 184 | 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) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 184 | $1.8M |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 173 | $17K |
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $143K |
| Short-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $142K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $142K |
| Prescription drug | PROVIDENCE HEALTH PLAN | 184 | $1.8M |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $143K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.