No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CYPRESS BENEFIT ADMINISTRATORS, LLC EIN 39-1997579 NONE | Plan Administrator; Claims processing Service code 12 | 5560 WEST GRANDE MARKET DR APPLETON, WI 54913 | $758K |
| CIGNA EIN 59-1031071 NONE | Claims processing Service code 12 | PO BOX 645014 CINCINNATI, OH 452645014 | $334K |
| PRO HEALTH ADVISORS EIN 91-1915938 NONE | Finders' fees / placement fees Service code 61 | 300 WEST 8TH STREET UNIT 205 VANCOUVER, WA 98660 | $197K |
| BULLARD LAW PC EIN 93-0693273 NONE | Legal Service code 29 | 200 SW MARKET ST SUITE 1900 PORTLAND, OR 97201 | $102K |
| MILLIMAN EIN 91-0675641 NONE | Actuarial Service code 11 | 1301 FIFTH AVE SUITE 3800 SEATTLE, WA 97101 | $85K |
| NEWTON RESOURCES, INC. EIN 47-3999643 NONE | Consulting (general) Service code 16 | 642 EVERGREEN ROAD LAKE OSWEGO, OR 97034 | $80K |
| KKC SERVICES, INC. EIN 93-1280442 NONE | Consulting (general) Service code 16 | 6004 NE ALAMEDA ST PORTLAND, OR 97213 | $62K |
| RISK POINT INSURANCE ADVISORS EIN 27-1369286 NONE | Finders' fees / placement fees Service code 61 | 965 SW EMKAY DR BEND, OR 97702 | $57K |
| B&B PRINT SOURCE EIN 93-0962705 NONE | Copying and duplicating Service code 36 | 9040 SW BURNHAM ST TIGARD, OR 97223 | $25K |
| PACIFIC NORTHWEST HARDWARE EIN 91-0353247 NONE | Finders' fees / placement fees Service code 61 | PO BOX 17819 SALEM, OR 97305 | $20K |
| KERN & THOMPSON, LLC EIN 93-1157146 NONE | Accounting (including auditing) Service code 10 | 1800 SW FIRST AVENUE SUITE 410 PORTLAND, OR 97201 | $19K |
| JOSEPH NEY EIN 56-9740070 CHAIRPERSON | Consulting (general) Service code 16 | PO BOX 4193 COVINA, CA 91723 | $14K |
| PROVIDENCE PLAN PARTNERS EIN 91-1861964 NONE | Claims processing Service code 12 | UNIT 84 PO BOX 4800 PORTLAND, OR 972084800 | $10K |
| CHUBB GROUP OF INSURANCE COMPANIES EIN 13-1963496 NONE | Insurance agents and brokers Service code 22 | 15 MOUNTAIN VIEW RD WARREN, NJ 07059 | $8K |
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 | 2,122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 1,983 | $139K |
| Short-term disability | STANDARD INSURANCE COMPANY | 1,983 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,983 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.