| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PARTNERS GROUP LTD-SEATTLE3 | 11850 SW 67TH AVE SUITE 100 PORTLAND, OR 97223 | DELTA DENTAL OF WASHINGTON | $3K | $0 | $3K | 5.04% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 18.42% |
| GIBSON INSURANCE AGENCY, INC.3 Filed as: GIBSON INSURANCE AGENCY | 202 S. MICHIGAN ST STE 1400 SOUTH BEND, AZ 46601 | RELIANCE STANDARD INSURANCE COMPANY | $225 | $0 | $225 | 1.59% |
| THE PARTNERS GROUP3 | 11850 SW 68TH AVE SUITE 100 PORTLAND, OR 97223 | WILLAMETTE DENTAL | $809 | $0 | $809 | 5.78% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | AMERITAS LIFE INSURANCE | $545 | $0 | $545 | 8.70% |
| GIBSON INSURANCE AGENCY, INC.3 Filed as: GIBSON INS AGENCY INC | 202 S MICHIGAN ST STE 1400 SOUTH BEND, IN 46601 | AMERITAS LIFE INSURANCE | $82 | $0 | $82 | 1.31% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD LIFE INSURANCE CO | $80 | $0 | $80 | 5.03% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD LIFE INSURANCE CO | $216 | $0 | $216 | 20.07% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD LIFE INSURANCE CO | $177 | $0 | $177 | 20.05% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD LIFE INSURANCE CO | $157 | $0 | $157 | 20.10% |
| THE PARTNERS GROUP3 | 11850 SW 67TH AVE, STE 100 PORTLAND, OR 97223 | RELIANCE STANDARD LIFE INSURANCE CO | $54 | $0 | $54 | 20.15% |
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 | 112 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF WASHINGTON | 60 | $67K |
| Vision | AMERITAS LIFE INSURANCE | 156 | $6K |
| Life insurance | RELIANCE STANDARD INSURANCE COMPANY | 137 | $14K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE CO | 0 | $268 |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE CO | 0 | $1K |
| Other(4 contracts, 2 carriers) | RELIANCE STANDARD INSURANCE COMPANY | 137 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.