| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AKT BENEFIT ADVISORS LP3 | 680 HAWTHORNE AVE SE STE 140 SALEM, OR 973010041 | WILLAMETTE DENTAL INSURANCE INC | $5K | — | $5K | 3.46% |
| DAVIDSON BENEFITS PLANNING LLC3 | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | WILLAMETTE DENTAL INSURANCE INC | $1K | — | $1K | 0.81% |
| AKT BENEFIT ADVISORS LP3 Filed as: AKT BENEFIT ADVISORS LLC | 680 HAWTHORNE AVE SE STE 140 SALEM, OR 973010041 | VISION SERVICE PLAN | $756 | — | $756 | 5.32% |
| DAVIDSON BENEFITS PLANNING LLC3 | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | VISION SERVICE PLAN | $168 | — | $168 | 1.18% |
| AKT BENEFIT ADVISORS LP3 | 680 HAWTHORNE AVE SE STE 140 SALEM, OR 97301 | LIFEMAP ASSURANCE COMPANY | $1K | — | $1K | 11.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UHC EIN 36-2739571 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $54K |
| BHS SERVICES EIN 93-1135521 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $3K |
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 | 110 | 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) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 356 | $600K |
| Dental | WILLAMETTE DENTAL INSURANCE INC | 236 | $137K |
| Life insurance | LIFEMAP ASSURANCE COMPANY | 110 | $10K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 110 | $10K |
| Long-term disability | LIFEMAP ASSURANCE COMPANY | 110 | $10K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 356 | $571K |
| Other | RELIANT BEHAVORIAL HEALTH | 140 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 356 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.