| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LP INSURANCE SERVICES, INC.3 Filed as: LP INSURANCE SERVICES LLC | 300 EAST 2ND STREET, SUITE 1300 RENO, NV 89501 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $23K | — | $23K | 3.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF OREGON LLC MEDFORD | PO BOX 29018 PORTLAND, OR 97296 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $9K | — | $9K | 1.19% |
| LP INSURANCE SERVICES, INC.3 Filed as: LP INSURANCE SERVICES LLC | 300 EAST 2ND STREET, SUITE 1300 RENO, NV 89501 | AMERITAS LIFE INSURANCE CORPORATION | $2K | — | $2K | 2.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 601 S.W. SECOND AVENUE PORTLAND, OR 97204 | AMERITAS LIFE INSURANCE CORPORATION | $852 | — | $852 | 1.22% |
| EXECUTIVE INSURANCE CONSULTANTS INC3 Filed as: EXECUTIVE INS CONSULTANTS INC | 2730 SPINNAKER DRIVE RENO, NV 89519 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 8.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | PO BOX 29018 PORTLAND, OR 97296 | PRINCIPAL LIFE INSURANCE COMPANY | $941 | — | $941 | 1.93% |
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 | 161 | 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) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF OREGON | 133 | $746K |
| Dental | AMERITAS LIFE INSURANCE CORPORATION | 248 | $70K |
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 248 | $70K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 161 | $49K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 161 | $49K |
| Prescription drug | REGENCE BLUECROSS BLUESHIELD OF OREGON | 133 | $746K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.