| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TORI ROBERTSON BOECK & ASSOCIATES3 | 910 NE D ST SUITE 101 GRANTS PASS, OR 97526 | PROVIDENCE HEALTH PLAN | $74K | — | $74K | 3.01% |
| BOECK AND ASSOCIATES INC3 Filed as: BOECK & ASSOCIATES INC | 930 TOWN CENTRE DRIVE GRANTS PASS, OR 97504 | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | $7K | — | $7K | 2.97% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK RD #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INS CO | — | $1K | $1K | 2.70% |
| BOECK AND ASSOCIATES INC3 Filed as: BOECK & ASSOCIATES INC | 930 TOWN CENTRE DRIVE MEDFORD, OR 97504 | UNITED OF OMAHA LIFE INS CO | $3K | — | $3K | 10.00% |
| BOECK AND ASSOCIATES INC5 Filed as: BOECK & ASSOCIATES INC | 930 TOWN CENTRE DRIVE MEDFORD, OR 97504 | UNITED OF OMAHA LIFE INS CO | $4K | — | $4K | 21.60% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK RD #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INS CO | — | $505 | $505 | 2.70% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK RD #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INS CO | — | $325 | $325 | 2.70% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK RD #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INS CO | — | $217 | $217 | 2.70% |
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 | 515 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 517 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 748 | $2.5M |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 764 | $222K |
| Vision | PROVIDENCE HEALTH PLAN | 748 | $2.5M |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INS CO | 749 | $31K |
| Short-term disability | UNITED OF OMAHA LIFE INS CO | 749 | $54K |
| Long-term disability | UNITED OF OMAHA LIFE INS CO | 29 | $8K |
| Prescription drug | PROVIDENCE HEALTH PLAN | 748 | $2.5M |
| Other(3 contracts, 2 carriers) | PROVIDENCE HEALTH PLAN | 749 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 764 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.