| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY HALE Filed as: JEFFREY HALE HALE VENTURES INC. | P.O. BOX 635 CHRISTMAS VALLEY, OR 97641 | PROVIDENCE HEALTH PLAN | $49K | $0 | $49K | 4.00% |
| JEFFREY HALE Filed as: JEFFREY HALE HALE VENTURES INC. | P.O. BOX 635 CHRISTMAS VALLEY, OR 97641 | WILLAMETTE DENTAL INSURANCE INC. | $2K | $5K | $7K | 15.00% |
| JEFFREY HALE Filed as: JEFFREY HALE HALE VENTURES INC. | 89065 LANGDON SPRINGS LANE CHRISTMAS VALLEY, OR 97641 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 3.69% |
| JEFFREY HALE Filed as: JEFFREY HALE HALE VENTURES INC. | 89065 LANGDON SPRINGS LANE CHRISTMAS VALLEY, OR 97641 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 6.95% |
| JEFFREY HALE Filed as: JEFFREY HALE HALE VENTURES INC. | 89065 LANGDON SPRINGS LANE CHRISTMAS VALLEY, OR 97641 | STANDARD INSURANCE COMPANY | $924 | $0 | $924 | 9.15% |
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 | 185 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENCE HEALTH PLAN | 141 | $1.2M |
| Dental(2 contracts, 2 carriers) | WILLAMETTE DENTAL INSURANCE INC. | 85 | $93K |
| Vision | STANDARD INSURANCE COMPANY | 86 | $10K |
| Short-term disability | STANDARD INSURANCE COMPANY | 185 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 185 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.