| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LARRY SHERWOOD & ASSOC INC3 Filed as: LARRY SHERWOOD & ASSOC, INC | 18765 SOUTHWEST BOONES FERRY ROAD SUITE 325 TUALATIN, OR 97062 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $31K | $1K | $32K | 3.09% |
| LARRY SHERWOOD & ASSOC INC3 | 18765 SOUTHWEST BOONES FERRY ROAD SUITE 325 TUALATIN, OR 97062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 6.98% |
| LARRY SHERWOOD & ASSOC INC3 | 18765 SOUTHWEST BOONES FERRY ROAD SUITE 325 TUALATIN, OR 97062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 13.18% |
| LARRY SHERWOOD & ASSOCIATES INC3 Filed as: LARRY SHERWOOD & ASSOCIATES | 18765 SOUTHWEST BOONES FERRY SUITE 325 TUALATIN, OR 97062 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $609 | — | $609 | 6.00% |
| LARRY SHERWOOD & ASSOC INC3 | 18765 SOUTHWEST BOONES FERRY ROAD SUITE 325 TUALATIN, OR 97062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $900 | — | $900 | 15.00% |
| LARRY SHERWOOD & ASSOC INC3 | 18765 SOUTHWEST BOONES FERRY ROAD SUITE 325 TUALATIN, OR 97062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $583 | — | $583 | 10.01% |
| LARRY SHERWOOD & ASSOCIATES INC3 Filed as: LARRY SHERWOOD & ASSOCIATES | 18765 SOUTHWEST BOONES FERRY ROAD SUITE 325 TUALATIN, OR 97062 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $253 | — | $253 | 4.35% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LL | PO BOX 749083 LOS ANGELES, CA 90074 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $38 | — | $38 | 0.65% |
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 | 276 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 175 | $1.0M |
| Dental | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 175 | $1.0M |
| Vision(2 contracts) | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 80 | $16K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $12K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $61K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $24K |
| Other(3 contracts, 2 carriers) | CANOPY | 282 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 282 | — |
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.