No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| A&I BENEFIT PLAN ADMINISTRATORS EIN 93-0446761 NONE | Claims processing; Plan Administrator; Copying and duplicating; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Recordkeeping fees; Other fees; Participant communication; Account maintenance fees Service code 12 | — | $408K |
| PREMERA BLUECROSS EIN 91-0499247 NONE | Direct payment from the plan; Float revenue; Claims processing Service code 12 | — | $403K |
| BENESYS NONE | Plan Administrator; Direct payment from the plan; Account maintenance fees; Other services; Claims processing; Copying and duplicating; Contract Administrator; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Other fees Service code 12 | 1220 SW MORRISON ST, SUITE 300 PORTLAND, OR 97205 | $350K |
| FERGUSON WELLMAN CAPITAL MANAGEMENT EIN 93-0064698 NONE | Investment management fees paid directly by plan; Direct payment from the plan Service code 50 | — | $84K |
| MODA HEALTH PLAN INC. EIN 93-0989307 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $81K |
| MERCER HEALTH & BENEFITS, LLC EIN 13-3283444 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $76K |
| INNOVATIVE CARE MANAGEMENT NONE | Consulting (general); Direct payment from the plan Service code 16 | 15 82ND DR #180 GLADSTONE, OR 97027 | $55K |
| MILLIMAN EIN 91-0675641 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $42K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $33K |
| US BANK N.A. EIN 31-0841368 PARTY-IN-INTEREST | Custodial (other than securities); Investment management fees paid indirectly by plan; Direct payment from the plan; Custodial (securities); Investment management fees paid directly by plan Service code 18 | — | $28K |
| BROWNSTEIN RASK EIN 93-0589000 NONE | Legal; Direct payment from the plan Service code 29 | — | $22K |
| EXTEND HEALTH NONE | Direct payment from the plan; Claims processing Service code 12 | 10975 S STERLING VIEW DR SUITE 1A SOUTH JORDAN, UT 84095 | $14K |
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 | 2,167 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 348 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,515 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 1,585 | $2.1M |
| Dental(5 contracts, 4 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 1,585 | $1.2M |
| Life insurance | STANDARD INSURANCE COMPANY | 1,789 | $144K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 1,660 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,789 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.