Plan Ledger DOL Form 5500 · updated monthly

Northwest Shadow LLCbenefits

Northwest Shadow LLC Health and Welfare Plan · PORTLAND, OR · plan year 2024

Broker compensation reported · 2024
$24,707

Northwest Shadow LLC's benefits plan covered 23 active participants in 2024, providing health · life · dental · vision · death benefits. Insurance brokers and agents were paid $24,707 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $1,074 per covered person, in the top 10% of employer plans that report broker pay.

Insurance contracts · 20243
REGENCE BLUECROSS BLUESHIELD OF OREGON · health drug dental ppopremiums n/a · 27 covered
UNUM LIFE INSURANCE COMPANY OF AMERICA · lifepremiums n/a · 23 covered
Brokers & agents paid · 20241
ALLIANT INSURANCE SERVICES, INC.$24,707 · incl $1,343 fees
Also brokered by Alliant5
Tyson Foods, Inc. AR$1,604,287
Stark Carpet Corp. NY$1,544,014

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Source: DOL Form 5500 Schedule A, plan year 2024, EIN 475438798 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.