| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANGEL X ESCAMILLA3 | 4920 SW LOMBARD AVE BEAVERTON, OR 97005 | AFLAC | $10K | $522 | $11K | 9.86% |
| DDI BENEFITS INC.3 Filed as: DDI BENEFITS | 2111 NE HALSEY ST PORTLAND, OR 97232 | AFLAC | $10K | $0 | $10K | 9.37% |
| JAMES S SARANTIS3 | 14132 SE FIRCREST CT PORTLAND, OR 97236 | AFLAC | $633 | $90 | $723 | 0.67% |
| TJ INSURANCE LLC3 | 3101 PERIWINKLE ST FOREST GROVE, OR 97116 | AFLAC | $627 | $25 | $652 | 0.60% |
| JAMES MITCHELL3 | 561 25TH AVE LONGVIEW, WA 98632 | AFLAC | $595 | $0 | $595 | 0.55% |
| YEOVANY CHERON3 | 4844 LANCASTER DR NE APT 234 SALEM, OH 97305 | AFLAC | $353 | $204 | $557 | 0.51% |
| YESENIA RAQUEL POSADAS3 | 2815 SW FAIRVIEW BLVD PORTLAND, OR 97217 | AFLAC | $393 | $88 | $481 | 0.44% |
| JEFFREY H MITCHELL3 | 2419 NE GRANDHAVEN ST MCMINNVILLE, OR 97128 | AFLAC | $383 | $0 | $383 | 0.35% |
| LARRY A MORRIS3 | 259 S SEQUOIA PKWY #K093 CANBY, OR 97013 | AFLAC | $347 | $0 | $347 | 0.32% |
| TYLER JACOB JORAMO3 | 3101 PERIWINKLE ST FOREST GROVE, OR 97116 | AFLAC | $237 | $0 | $237 | 0.22% |
| NEIL EUGENE GRAVATT3 | 4998 ARROWOOD CT SE SALEM, OR 97317 | AFLAC | $176 | $34 | $210 | 0.19% |
| TODD LINGEL3 | 4960 S GILBERT ROAD STE 1-470 CHANDLER, AZ 85249 | AFLAC | $203 | $0 | $203 | 0.19% |
| JUSTIN FREYVOGEL3 | 2935 SE BELMONT ST APT 7 PORTLAND, OR 97214 | AFLAC | $188 | $0 | $188 | 0.17% |
| TREVOR WILKS3 | 722 HIGHLAND AVE NE SALEM, OR 97301 | AFLAC | $141 | $34 | $175 | 0.16% |
| BRENDAN HOVEL3 | 8545 SW PFAFFLE STREET APT 9 TIGARD, OR 97223 | AFLAC | $162 | $0 | $162 | 0.15% |
| PAUL ANTHONY COMISAK II3 | 6300 E HIGHWAY 388 YOUNGSTOWN, FL 32466 | AFLAC | $110 | $0 | $110 | 0.10% |
| PAUL LANGAS3 Filed as: PAUL JON LANGAS | 8910 N JUNIPER ST CAMAS, WA 98607 | AFLAC | $67 | $0 | $67 | 0.06% |
| ALEXANDER MAXIMILI WATKINS3 | 15309 SE 3RD ST VANCOUVER, WA 98684 | AFLAC | $59 | $0 | $59 | 0.05% |
| DANIEL S ADAMS3 | 3857 SCOTT CHURCH RD MARIANNA, FL 32448 | AFLAC | $56 | $0 | $56 | 0.05% |
| SAIC INC3 Filed as: SAIC INC. | 1639 BRADLEY PARK DR SUITE 500, BOX 358 COLUMBUS, GA 31904 | AFLAC | $38 | $0 | $38 | 0.04% |
| BRIAN ANDREWS3 | 5728 TAMARACK DR PACE, FL 32571 | AFLAC | $30 | $0 | $30 | 0.03% |
| JINX LIBERATO3 | 2821 IONE STREET SACRAMENTO, CA 95821 | AFLAC | $22 | $0 | $22 | 0.02% |
| SKY MORGAN3 | PO BOX 826 THE DALLES, OR 97058 | AFLAC | $21 | $0 | $21 | 0.02% |
| VINCENT BRIAN VOLLMAR3 | 4085 HAGER ST SE SUITE 300 SALEM, OR 97301 | AFLAC | $9 | $0 | $9 | 0.01% |
| JOHN TODD LEE3 | 322 FARMHOUSE RD ELLERSLIE, GA 31807 | AFLAC | $4 | $0 | $4 | 0.00% |
| STAN A SHERLIN3 | 773 TOWN LAKE DR MONTGOMERY, AL 36117 | AFLAC | $4 | $0 | $4 | 0.00% |
| DDI BENEFITS INC.3 | 2111 NE HALSEY ST PORTLAND, OR 972321522 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.28% |
| ENROLLEASE3 Filed as: ENROLLEASE INC. | 7979 OLD GEORGETOWN RD SUITE 300 BETHESDA, MA 20814 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.82% |
| DDI BENEFITS INC.3 Filed as: DDI BENEFITS | 2111 NE HALSEY ST PORTLAND, OR 972321522 | VISION SERVICE PLAN | $824 | $0 | $824 | 6.83% |
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 | 132 | 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) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 220 | $84K |
| Vision | VISION SERVICE PLAN | 92 | $12K |
| Short-term disability | AFLAC | 152 | $108K |
| Other | AFLAC | 152 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 220 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.