| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $39K | $5K | $44K | 2.14% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | $0 | $13K | 0.61% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $36K | $5K | $41K | 2.20% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $0 | $11K | 0.58% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $19K | $3K | $21K | 1.86% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $10K | $0 | $10K | 0.87% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $84K | $0 | $84K | 16.98% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $21K | $0 | $21K | 4.32% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $1K | $10K | 2.14% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 0.61% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $900 | $8K | 2.00% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $0 | $3K | 0.73% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $61K | $0 | $61K | 16.77% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | $0 | $17K | 4.77% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $444 | $4K | 2.15% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 0.61% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | $0 | $18K | 12.53% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | PO BOX 1185 CORVALLIS, OR 97339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 1.57% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | PO BOX 1185 CORVALLIS, OR 97339 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 4.60% |
| BENEFIT COMMUNICATIONS INC3 Filed as: BENEFIT COMMUNICATIONS, INC. | 2977 SIDCO DRIVE NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $804 | $0 | $804 | 0.72% |
| CHRISTOPHER THOMAS SMITH3 Filed as: CHRISTOPHER ROBERT MORRIS | 2977 SIDCO DRIVE NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $199 | $0 | $199 | 0.18% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH STREET HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $239 | $2K | 2.13% |
| TIMOTHY HENNESSY3 Filed as: TIMOTHY E HENNESSY | 226 SW 7TH STREET PO BOX 1185 CORVALLIS, OR 97333 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $595 | $0 | $595 | 0.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 340 NW 5TH STREET CORVALLIS, OR 97330 | ACE AMERICAN INSURANCE COMPANY | $285 | $21 | $306 | 16.11% |
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 | 5,666 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 23 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,689 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | WILLAMETTE DENTAL INSURANCE, INC. | 4,032 | $1.8M |
| Life insurance(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,283 | $2.4M |
| Short-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,283 | $1.5M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 5,629 | $2.1M |
| Other(7 contracts, 4 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,063 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,283 | — |
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.