Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthHMO | HealthHMO | |
Broker: Interremedy Insurance Services Stop-loss | Stop-loss | |
LifeOther | LifeOther | |
Dental | Dental | |
Vision | Vision |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 5 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 3,529 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 996 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,525 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 8,256 | $33.4M |
| Dental | WILLAMETTE DENTAL INSURANCE, INC. | 725 | $0 |
| Vision | VISION SERVICE PLAN | 4,561 | $0 |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 4,508 | $869K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 3,518 | $923K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 4,508 | $869K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,256 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Sun Life Assurance Company of Canada |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Direct payment from the plan; Claims processing; Contract Administrator; Participant communication; Copying and duplicating Service code 12 | — | $1.4M |
| INNOVATIVE CARE MANAGEMENT, INC. EIN 93-1087669 NONE | Other services; Direct payment from the plan; Insurance services Service code 23 | — | $259K |
| US BANK EIN 31-0841368 NONE | Direct payment from the plan; Custodial (securities); Other services Service code 19 | — | $87K |
| PROPEL INSURANCE EIN 91-0830024 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan; Consulting (general) Service code 16 | — | $83K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $53K |
| PSG CONSULTING, LLC EIN 27-2345574 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $52K |
| TORI A GETER NONE | Direct payment from the plan; Other services Service code 49 | 1425 NW GARFIELD AVE CORVALLIS, OR 97330 | $46K |
| WASHINGTON CAPITAL MANAGEMENT EIN 91-1042342 NONE | Investment management fees paid directly by plan Service code 51 | — | $38K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $33K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| VERUS ADVISORY, INC. EIN 91-1320111 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $30K |
| MD LIVE, INC. EIN 45-4937055 NONE | Other services; Direct payment from the plan Service code 49 | — | $25K |
| BROWNSTEIN RASK LLP EIN 93-0589000 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| ULLICO INVESTMENT ADVISORS EIN 52-6435640 NONE | Investment management fees paid directly by plan Service code 51 | — | $14K |
| J THAYER COMPANY EIN 93-1318092 NONE | Other services; Direct payment from the plan Service code 49 | — | $13K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025