Plan Ledger DOL Form 5500 · updated monthly

Arcimoto, Incbenefits

Arcimoto, Inc Health and Welfare Plan · EUGENE, OR · plan year 2023

Broker compensation reported · 2023
$29,629

Arcimoto, Inc's benefits plan covered 53 active participants in 2023, providing health · dental · vision. Insurance premiums totaled $20,613. Insurance brokers and agents were paid $29,629 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 143.7% of premiums. That is $559 per covered person, in the top quarter of employer plans that report broker pay.

Insurance contracts · 20233
WILLAMETTE DENTAL INSURANCE, INC. · dental$21K · 51 covered
REGENCE BLUECROSS BLUESHIELD OF OREGON · health drug ppopremiums n/a · 68 covered
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA · dental visionpremiums n/a · 46 covered
Brokers & agents paid · 20232
USI INSURANCE SERVICES NORTHWEST$26,103 · incl $53 fees
USI INSURANCE SERVICES LLC$3,526 · incl $1,234 fees
Also brokered by Usi5
Bronco Wine Company CA$1,411,592

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 261449404 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.