| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT WEEKS3 | KPD INSURANCE PO BOX 29 SPRINGFIELD, OR 97477 | PROVIDENCE HEALTH PLAN | $35K | — | $35K | 2.99% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC. | — | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $121 | $3K | 4.96% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC. | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.64% |
| LARRI B WHEELER3 Filed as: LARRI B. WHEELER | — | AFLAC | $391 | — | $391 | 3.03% |
| PHILIP O MCGUIGAN3 Filed as: PHILIP O. MCGUIGAN | — | AFLAC | $137 | $26 | $163 | 1.26% |
| JEROMY E. CILLEY3 | — | AFLAC | $89 | $4 | $93 | 0.72% |
| RAYMOND B LINGLE3 Filed as: RAYMOND R. JANISSE | — | AFLAC | $76 | — | $76 | 0.59% |
| T ALLEN HOWDESHELL3 Filed as: ALLEN DEAN | — | AFLAC | $65 | — | $65 | 0.50% |
| VERNON P HERRERA3 Filed as: VERNON E. WHEELER | — | AFLAC | $60 | — | $60 | 0.47% |
| GUY R SOUTER3 Filed as: GUY R. SOUTER | — | AFLAC | $50 | — | $50 | 0.39% |
| KIMBERLY A PARKS3 Filed as: KIMBERLY A. PARKS | — | AFLAC | $48 | — | $48 | 0.37% |
| REBECCA L. HILL3 | — | AFLAC | $33 | — | $33 | 0.26% |
| ERNEST E SNOOK3 Filed as: ERNEST E. SNOOK | — | AFLAC | $30 | — | $30 | 0.23% |
| RICHARD G MCGOWAN3 Filed as: RICHARD MARK SUMMERS | — | AFLAC | $26 | — | $26 | 0.20% |
| TODD M TAYLOR3 Filed as: TODD M. TAYLOR | — | AFLAC | $24 | — | $24 | 0.19% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES H. WHIPPLE | — | AFLAC | $16 | — | $16 | 0.12% |
| SCOTT NIELSEN3 Filed as: SCOTT E. NIELSON | 718B W FOURTH PLAIN BLVD VANCOUVER, WA 98660 | AFLAC | $16 | — | $16 | 0.12% |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL MICHAEL HANNANT | — | AFLAC | $14 | — | $14 | 0.11% |
| GUY R SOUTER3 Filed as: GUY R. SOUTER | — | AFLAC | $14 | — | $14 | 0.11% |
| BRADLEY R. SWANK3 | PO BOX 872 SPRINGFIELD, OR 97477 | AFLAC | $14 | — | $14 | 0.11% |
| MICHAEL C WALKER3 Filed as: MICHAEL L. ALLEY | 18047 SW LOWER BOONES FERRY RD APT 415 TIGARD, OR 97224 | AFLAC | $12 | — | $12 | 0.09% |
| SHANE EDMUND ATTEBERY3 | — | AFLAC | $6 | — | $6 | 0.05% |
| MICHAEL LEROY ALLEY3 Filed as: MICHAEL A. ALLEY | 2189 SE 12TH AVE CANBY, OR 97013 | AFLAC | $5 | — | $5 | 0.04% |
| IOANNIS T GRATSINOPOULOS3 Filed as: IOANNIS T. GRATSINOPOULOS | — | AFLAC | $4 | — | $4 | 0.03% |
| RAYMON P KEECH III3 Filed as: RAYMON P. KEECH III | — | AFLAC | $3 | — | $3 | 0.02% |
| IOANNIS T GRATSINOPOULOS3 Filed as: IOANNIS T. GRATSINOPOULOS | 1893 E. DAULBY ST MERIDIAN, ID 83642 | AFLAC | $2 | — | $2 | 0.02% |
| MARCI MARIE OTIS3 | 200 JULINA LN ROSEBURG, OR 97471 | AFLAC | $1 | — | $1 | 0.01% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| WORLD INSURANCE ASSOCIATES LLC3 Filed as: KPD INSURANCE INC. | — | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 12.12% |
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 | 129 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 213 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 161 | $58K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 129 | $10K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 93 | $28K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 36 | $13K |
| Other(2 contracts, 2 carriers) | AFLAC | 129 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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.