Plan Ledger DOL Form 5500 · updated monthly

Evergreen Family Medicinebenefits

Evergreen Family Medicine Employee Benefit Plan · ROSEBURG, OR · plan year 2025

Broker compensation reported · 2025
$12,920

Evergreen Family Medicine's benefits plans covered 265 active participants in 2025, providing health · life · dental · vision · long-term disability · death benefits · other. Insurance premiums totaled $182,198. Insurance brokers and agents were paid $12,920 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That works out to 7.1% of premiums. That is $49 per covered person, in the bottom quarter of employer plans that report broker pay. Broker pay rose 51% from $8,561 in 2024.

Insurance contracts · 20252
STANDARD INSURANCE COMPANY · life ltd$153K · 265 covered
WILLAMETTE DENTAL INSURANCE, INC. · dental$29K · 75 covered
Brokers & agents paid · 20251
USI INSURANCE SERVICES LLC$12,920 · incl $4,932 fees
Also brokered by Usi5
Adapthealth, LLC PA$827,688

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Source: DOL Form 5500 Schedule A, plan year 2025, EIN 931200207 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.