| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OR OREGON | 941 OAK ST. EUGENE, OR 97401 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $17K | — | $17K | 1.50% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF OREGON | 2000 PACIFIC AVE. FOREST GROVE, OR 97116 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $8K | — | $8K | 0.75% |
| LARRY SHERWOOD & ASSOC INC3 Filed as: LARRY SHERWOOD & ASSOC | 18765 SW BOONES FERRY RD. STE. 325 TUALATIN, OR 97062 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $8K | — | $8K | 0.73% |
| LARRY SHERWOOD & ASSOC INC3 Filed as: LARRY SHERWOOD & ASSOC. | 18765 SW BOONES FERRY RD. STE. 325 TUALATIN, OR 97062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $7K | $14K | 12.83% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF OREGON | 941 OAK ST. EUGENE, OR 97401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.25% |
| LARRY SHERWOOD & ASSOC INC3 Filed as: LARRY SHERWOOD & ASSOC. | 18765 SW BOONES FERRY RD. TUALATIN, OR 97062 | METROPOLITAN LIFE INSURANCE COMPANY | $455 | — | $455 | 3.94% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF OREGON | 941 OAK ST. EUGENE, OR 97401 | METROPOLITAN LIFE INSURANCE COMPANY | $232 | — | $232 | 2.01% |
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 | 301 | 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) | 301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 170 | $1.1M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 83 | $12K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 207 | $108K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 207 | $108K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 207 | $108K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 170 | $1.1M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 301 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.