| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PARKWAY STE #203 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $52K | $2K | $54K | 3.06% |
| PCF INSURANCE SERVICES OF THE WEST3 | 412 JEFFERSON PKWY STE 203 LAKE OSWEGO, OR 97035 | PRINCIPAL LIFE INSURANCE COMPANY | $17K | $6K | $23K | 12.12% |
| PCF INSURANCE SERVICES OF THE WEST3 | — | WILLAMETTE DENTAL INSURANCE, INC | $4K | — | $4K | 5.00% |
| MONTGOMERY & GRAHAM INC3 Filed as: MONTGOMERY & GRAHAM,INC | — | MEDICAL EYE SERVICES OF OREGON, INC. | $2K | — | $2K | 10.00% |
| MARGARET BRYANT3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $430 | $2K | 19.17% |
| PCF INSURANCE SERVICES OF THE WEST3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $599 | $4 | $603 | 5.72% |
| WORKSITE BENEFITS GROUP INC3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $238 | $304 | $542 | 5.14% |
| ISAACSON INSURANCE AGENCY LLC3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $167 | $53 | $220 | 2.09% |
| THOMAS TAYLOR3 Filed as: THOMAS MCKY TAYLOR | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.11% |
| AON CONSULTING INC3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.10% |
| ELIZABETH MARIE LANGEVIN3 Filed as: ELIZABETH ANNE FELL | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.05% |
| SHARON R NOWELL3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| ZINA OSTER3 | — | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
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 | 325 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 327 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 416 | $1.8M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 338 | $269K |
| Vision | MEDICAL EYE SERVICES OF OREGON, INC. | 156 | $23K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 338 | $203K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 338 | $193K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 338 | $193K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 308 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 416 | — |
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.