Plan Ledger DOL Form 5500 · updated monthly

Dr. Martens Airwair USA, LLCbenefits

Dr. Martens Airwair USA LLC Health & Welfare Plan · PORTLAND, OR · plan year 2024

Previously filed as Dr Martens Airwair USA, LLC. Same employer identification number; renames and acquisitions are why old benefits and 401(k) accounts get lost.

Broker compensation reported · 2024
$139,801

Dr. Martens Airwair USA, LLC's benefits plans covered 385 active participants in 2024, providing health · dental · vision · other. Insurance brokers and agents were paid $139,801 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $363 per covered person, above the median for employer plans that report broker pay. Broker pay rose 3.9% from $134,493 in 2023.

Insurance contracts · 20246
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST · health drug hmopremiums n/a · 32 covered
VISION SERVICE PLAN · visionpremiums n/a · 266 covered
OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON · dentalpremiums n/a · 442 covered
REGENCE BLUECROSS BLUESHIELD OF OREGON · health ppopremiums n/a · 417 covered
UNUM LIFE INSURANCE COMPANY OF AMERICApremiums n/a · 111 covered
UNUM LIFE INSURANCE COMPANY OF AMERICA · life std ltdpremiums n/a · 365 covered
Brokers & agents paid · 20245
DIGITAL INSURANCE, INC.$18,403 · incl $3,412 fees
DIGITAL INSURANCE INC$14,625 · incl $717 fees
DIGITAL INSURANCE, LLC$102,365 · incl $4,383 fees
CENTRO BENEFITS RESEARCH LLC$2,816 · incl $2,816 fees
Also brokered by Digital Insurance, Inc.5

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 931227085 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.