Form 5500 · Employee benefit plan · HILLSBORO, OR
AGC ELECTRONICS AMERICA
The filing calls this plan AGC ELECTRONICS AMERICA WELFARE BENEFIT PLAN.
Public Form 5500 records show how AGC ELECTRONICS AMERICA of HILLSBORO, OR, a manufacturing employer, structures its employee benefits. Its broker of record is JOHNSON BENEFIT GROUP, INC.. Coverage is written through PROVIDENCE HEALTH PLAN and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 25-1059306 · plan 501 · plan year 2025, filed Jun 2, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
Benefits declared on this filing
Also declared: death benefits, other welfare.
Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.
Plan brief
Schedule A lists 3 insured contracts covering health, dental, life and disability; the largest, with PROVIDENCE HEALTH PLAN, covers 279 people.
Reported premium across the insured contracts is $2,888,537, with $89,115 in disclosed broker commissions — about 3.1% of premium.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
JOHNSON BENEFIT GROUP, INC. is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including PROVIDENCE HEALTH PLAN, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and WILLAMETTE DENTAL INSURANCE, INC.. PROVIDENCE HEALTH PLAN writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PROVIDENCE HEALTH PLAN | Health | 279 | Jan 1, 2026 | $2,582,830 | $67,436 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Life, Disability | 152 | Jan 1, 2026 | $229,678 | $20,393 |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental | 130 | Jan 1, 2026 | $76,029 | $1,286 |
Premium and claims on this contract
WILLAMETTE DENTAL INSURANCE, INC., contract OR218. For the contract year on this filing, the carrier reported $76,029 in premium earned and $42,759 in claims incurred. Dividing one by the other gives 56%.
- WILLAMETTE DENTAL INSURANCE, INC., contract OR218 reported $10,029 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 659 employees, 7 recordable cases, 260 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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