| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT DESIGN GROUP/JOEL BIEMAT3 | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | PROVIDENCE HEALTH PLAN | $35K | — | $35K | 2.98% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP, LLC | 7140 SOUTHWEST FIR LOOP #220 PORTLAND, OR 97223 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $21K | $739 | $22K | 3.10% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP LLC | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $13K | — | $13K | 15.00% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP LLC | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.97% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 17.38% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 4.93% |
| BRYAN BULLOCK3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $654 | — | $654 | 3.01% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $125 | — | $125 | 0.57% |
| MCLAUGHLIN KRISTN3 | 911 EASTLAND CIRCLE COLUMBIA, MO 65201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $123 | — | $123 | 0.57% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $93 | — | $93 | 0.43% |
| BULLOCK BRYAN3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $39 | — | $39 | 0.18% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP LLC | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $17K | — | $17K | 100.00% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $561 | — | $561 | 4.07% |
| BRYAN BULLOCK3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $395 | — | $395 | 2.87% |
| MCLAUGHLIN KRISTN3 | 911 EASTLAND CIRCL COLUMBIA, MO 65201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $110 | — | $110 | 0.80% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $69 | — | $69 | 0.50% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $58 | — | $58 | 0.42% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP LLC | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $595 | — | $595 | 4.74% |
| BULLOCK BRYAN3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $303 | — | $303 | 2.41% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $67 | — | $67 | 0.53% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $22 | — | $22 | 0.18% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $322 | — | $322 | 5.72% |
| BRYAN BULLOCK3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $176 | — | $176 | 3.13% |
| MCLAUGHLIN KRISTN3 | 911 EASTLAND CIRCLE COLUMBIA, MO 65201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $63 | — | $63 | 1.12% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $39 | — | $39 | 0.69% |
| CHARLOTTE R SANTA CRUZ3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $28 | — | $28 | 0.50% |
| BULLOCK BRYAN3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.25% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $162 | — | $162 | 5.63% |
| BRYAN BULLOCK3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $68 | — | $68 | 2.37% |
| MCLAUGHLIN KRISTN3 | 911 EASTLAND CIRCLE COLUMBIA, MO 65201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $39 | — | $39 | 1.36% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $20 | — | $20 | 0.70% |
| BULLOCK BRYAN3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.35% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.35% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $93 | — | $93 | 5.35% |
| BULLOCK BRYAN3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $55 | — | $55 | 3.16% |
| MCLAUGHLIN KRISTN3 | 911 EASTLAND CIRCLE COLUMBIA, MO 65201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $25 | — | $25 | 1.44% |
| BRYAN BULLOCK3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.58% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.58% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.52% |
| BENEFIT DESIGN GROUP INC3 Filed as: BENEFIT DESIGN GROUP | 7140 SOUTHWEST FIR LOOP SUITE 220 PORTLAND, OR 97223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $83 | — | $83 | 5.10% |
| BULLOCK BRYAN3 | 384 Q STREET SPRINGFIELD, OR 97477 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $66 | — | $66 | 4.06% |
| SANTA CRUZ CHARLOTTE R3 | 718 DUNBAR AVENUE SUITE 3A BAY ST LOUIS, MS 39520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | — | $11 | 0.68% |
| SUPPLEMENTAL BNFT SOLUTIONS3 | PO BOX 1849 LAKE OSWEGO, OR 97035 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | — | $11 | 0.68% |
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 | 331 | 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) | 331 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 3 carriers) | PROVIDENCE HEALTH PLAN | 151 | $1.9M |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 199 | $17K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 127 | $13K |
| Life insurance(6 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $85K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 355 | $48K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $85K |
| Prescription drug(2 contracts, 2 carriers) | PROVIDENCE HEALTH PLAN | 151 | $1.9M |
| Other(8 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 369 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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.