| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PKWY STE 203 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $40K | $34 | $41K | 3.01% |
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PKWY STE 203 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | — | $13K | 5.42% |
| MONTGOMERY & GRAHAM INC3 Filed as: MONTGOMERY & GRAHAM INC. | 412 JEFFERSON PKWY, SUITE 100 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $738 | $11K | 4.71% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 9171 TOWNE CENTRE DR STE 500 SAN DIEGO, CA 92122 | METROPOLITAN LIFE INSURANCE COMPANY | $253 | $38 | $291 | 0.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 250 PEHLE AVE STE 400, PARK 80, PLAZA 2 SADDLE BROOK, NJ 07663 | METROPOLITAN LIFE INSURANCE COMPANY | — | $37 | $37 | 0.02% |
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PKWY STE 203 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 10.30% |
| MONTGOMERY & GRAHAM INC3 Filed as: MONTGOMERY & GRAHAM INC. | 412 JEFFERSON PKWY, SUITE 100 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $29 | $1K | 8.63% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 9171 TOWNE CENTRE DR STE 500 SAN DIEGO, CA 92122 | METROPOLITAN LIFE INSURANCE COMPANY | — | $38 | $38 | 0.25% |
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PKWY STE 203 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $924 | — | $924 | 9.00% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PKWY, SUITE 100 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $594 | $27 | $621 | 6.05% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 9171 TOWNE CENTRE DR STE 500 SAN DIEGO, CA 92122 | METROPOLITAN LIFE INSURANCE COMPANY | — | $38 | $38 | 0.37% |
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PKWY STE 203 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $800 | — | $800 | 8.80% |
| MONTGOMERY & GRAHAM INC3 | 412 JEFFERSON PKWY, SUITE 100 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $543 | $31 | $574 | 6.31% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 9171 TOWNE CENTER DR STE 500 SAN DIEGO, CA 92122 | METROPOLITAN LIFE INSURANCE COMPANY | — | $38 | $38 | 0.42% |
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 | 226 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 227 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 245 | $1.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 380 | $244K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 380 | $244K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 380 | $244K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 380 | $244K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 245 | $1.3M |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 380 | $279K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 380 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.