| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OR LLC | PO BOX 743061 LOS ANGELES, CA 90074 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $29K | $548 | $29K | 3.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 300 N BEACH ST DAYTONA, FL 32114 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $3K | — | $3K | 3.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 601 SW 2ND AVE, STE 1200 PORTLAND, OR 97204 | STANDARD INSURANCE COMPANY | $915 | — | $915 | 5.72% |
| GREAT NORTHERN STAFF ADMINISTRATORS3 | 6915 S MACADAM AVE SUITE 350 PORTLAND, OR 97219 | STANDARD INSURANCE COMPANY | — | $538 | $538 | 3.36% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NW VAUGHN ST #340 PORTLAND, OR 97296 | STANDARD INSURANCE COMPANY | $523 | — | $523 | 3.27% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NY INC | 595 STEWART AVE STE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | $399 | — | $399 | 2.49% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 601 SW 2ND AVE, STE 1200 PORTLAND, OR 97204 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 9.55% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NW VAUGHN ST #340 PORTLAND, OR 97296 | STANDARD INSURANCE COMPANY | $575 | — | $575 | 4.63% |
| GREAT NORTHERN STAFF ADMINISTRATORS3 | 6915 S MACADAM AVE SUITE 350 PORTLAND, OR 97219 | STANDARD INSURANCE COMPANY | — | $410 | $410 | 3.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NY INC | 595 STEWART AVE STE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | $327 | — | $327 | 2.63% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 601 SW 2ND AVE, STE 1200 PORTLAND, OR 97204 | STANDARD INSURANCE COMPANY | $661 | — | $661 | 5.95% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NW VAUGHN ST #340 PORTLAND, OH 97296 | STANDARD INSURANCE COMPANY | $458 | — | $458 | 4.12% |
| GREAT NORTHERN STAFF ADMINISTRATORS3 | 6915 S MACADAM AVE SUITE 350 PORTLAND, OR 97219 | STANDARD INSURANCE COMPANY | — | $371 | $371 | 3.34% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NY INC | 595 STEWART AVE STE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | $298 | — | $298 | 2.68% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 601 SW 2ND AVE, STE 1200 PORTLAND, OR 97204 | STANDARD INSURANCE COMPANY | $934 | — | $934 | 13.30% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC | 2701 NW VAUGHN ST #340 PORTLAND, OR 97296 | STANDARD INSURANCE COMPANY | $371 | — | $371 | 5.28% |
| GREAT NORTHERN STAFF ADMINISTRATORS3 | 6915 S MACADAM AVE SUITE 350 PORTLAND, OR 97219 | STANDARD INSURANCE COMPANY | — | $228 | $228 | 3.25% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NY INC | 595 STEWART AVE STE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | $209 | — | $209 | 2.98% |
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 | 139 | 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) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 119 | $963K |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 117 | $91K |
| Life insurance | STANDARD INSURANCE COMPANY | 139 | $16K |
| Short-term disability | STANDARD INSURANCE COMPANY | 24 | $11K |
| Long-term disability | STANDARD INSURANCE COMPANY | 23 | $12K |
| Other(2 contracts) | STANDARD INSURANCE COMPANY | 139 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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.