| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE, INC. | PO BOX 29 SPRINGFIELD, OR 97477 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $24K | $24K | 2.04% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC. | PO BOX 29 SPRINGFIELD, OR 97477 | WILLAMETTE DENTAL INSURANCE, INC. | $2K | $0 | $2K | 5.00% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC. | PO BOX 784 SPRINGFIELD, OR 97477 | STANDARD INSURANCE COMPANY | $2K | $838 | $3K | 12.01% |
| MARCI MARIE OTIS3 Filed as: MARCI M. OTIS | 200 JULINA LANE ROSEBURG, OR 97471 | CONTINENTAL AMERICAN INSURANCE COMPANY | $493 | $0 | $493 | 2.48% |
| JOSEPH FIDDY INC3 Filed as: JOSEPH FIDDY INC. | 2000 WEST HARVARD AVENUE, SUITE 100 ROSEBURG, OR 97470 | CONTINENTAL AMERICAN INSURANCE COMPANY | $341 | $0 | $341 | 1.72% |
| MJ INSURANCE3 Filed as: JEROMY CILLEY AND VARIOUS AGENTS | 116 HIGHWAY 99N, SUITE 112 EUGENE, OR 97402 | CONTINENTAL AMERICAN INSURANCE COMPANY | $335 | $0 | $335 | 1.69% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 975 OAK STREET, SUITE 900 EUGENE, OR 97401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $184 | $0 | $184 | 0.93% |
| MARK D LUTHER3 Filed as: MARK D. LUTHER | 804 MOOREFIELD PARK DRIVE SUITE 106 RICHMOND, VA 23236 | CONTINENTAL AMERICAN INSURANCE COMPANY | $184 | $0 | $184 | 0.93% |
| SHANE EDMUND ATTEBERY3 Filed as: SHANE E. ATTEBERY | 2824 SOUTH RIVER ROAD GRANTS PASS, OR 97527 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | $0 | $144 | 0.73% |
| RAYMOND P KEECH III3 Filed as: RAYMOND P. KEECH LLL | 8207 CAMPAIGN CIRCLE RICHMOND, TX 77406 | CONTINENTAL AMERICAN INSURANCE COMPANY | $126 | $0 | $126 | 0.63% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE, INC. | PO BOX 784 SPRINGFIELD, OR 97477 | VISION SERVICE PLAN | $848 | $0 | $848 | 6.65% |
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 | 144 | 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) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 254 | $1.2M |
| Dental(2 contracts, 2 carriers) | WILLAMETTE DENTAL INSURANCE, INC. | 129 | $53K |
| Vision(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 111 | $33K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 144 | $42K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 111 | $20K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 254 | $1.2M |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 144 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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.