| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY JONES3 | PO BOX 1657 SPRINGFIELD, OR 97477 | KAISER FOUNDATION HEALTH PLAN, INC. | $331K | $0 | $331K | 4.29% |
| J.L. JONES AND ASSOCIATES3 Filed as: J.L. JONES INSURANCE SERVICES, LLC | 1111 GATEWAY LOOP SPRINGFIELD, OR 97477 | KAISER FOUNDATION HEALTH PLAN, INC. | $10K | $0 | $10K | 0.14% |
| J.L. JONES AND ASSOCIATES3 Filed as: J.L. JONES INSURANCE SERVICES, LLC | PO BOX 1657 SPRINGFIELD, OR 97477 | STANDARD INSURANCE COMPANY | $62K | $0 | $62K | 2.52% |
| IMA, INC.3 | 1705 17TH STREET, SUITE 100 DENVER, CO 80202 | STANDARD INSURANCE COMPANY | $62K | $0 | $62K | 2.50% |
| J.L. JONES AND ASSOCIATES3 Filed as: J.L. JONES INSURANCE SERVICES, LLC | 1111 GATEWAY LOOP SPRINGFIELD, OR 97477 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $37K | $0 | $37K | 2.58% |
| J.L. JONES AND ASSOCIATES3 Filed as: J.L. JONES INSURANCE SERVICES, LLC | PO BOX 1657 SPRINGFIELD, OR 97477 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $75K | $0 | $75K | 6.88% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS GROUP, INC. | 112 NW 114TH STREET VANCOUVER, WA 98685 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29K | $37K | $66K | 6.11% |
| MARGARET BRYANT3 | 18014 BELMORE AVENUE LAKE OSWEGO, OR 97035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47K | $2K | $49K | 4.50% |
| BENEFITS BY DESIGN INC3 Filed as: BENEFITS BY DESIGN, INC. | 2101 NE 279TH STREET RIDGEFIELD, WA 98642 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $5 | $7K | 0.65% |
| DONALD GOTHAN & OTHER AGENTS3 | 3129 ECLIPSE DRIVE GREEN BAY, WI 54311 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 0.19% |
| ISAACSON INSURANCE AGENCY LLC3 Filed as: ISAACSON INSURANCE AGENCY, LLC | 1821 NW 23RD PLACE PORTLAND, OR 97201 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $94 | $1K | 0.11% |
| PAMELA COPLE SMITH3 | 411 HIGHLAND DRIVE SEATTLE, WA 98109 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $392 | $0 | $392 | 0.04% |
| IMA, INC.3 | PO BOX 1657 SPRINGFIELD, OR 97477 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $34K | $575 | $34K | 3.34% |
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 | 4,118 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,070 | $10.3M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 19 | $137K |
| Vision(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,070 | $10.3M |
| Life insurance | STANDARD INSURANCE COMPANY | 5,401 | $2.5M |
| Short-term disability(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 5,401 | $3.6M |
| Long-term disability | STANDARD INSURANCE COMPANY | 5,401 | $2.5M |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,070 | $10.3M |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 5,401 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,401 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.