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Form 5500 · Employee benefit plan · PORTLAND, OR

ALBERTINA KERR CENTERS

ALBERTINA KERR CENTERS of PORTLAND, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is HUB INTERNATIONAL NORTHWEST, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF NORTHWEST and 4 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Plan renews
June

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0386780 · plan 503 · as of Aug 2026

Participants
456
Carriers on file
5
Disclosed commissions
$86,369
Renewal month
June

Plan brief

Schedule A lists 5 insured contracts covering health, dental, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF NORTHWEST, covers 465 people.

Reported premium across the insured contracts is $4,380,221, with $86,369 in disclosed broker commissions — about 2% of premium.

The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.

HUB INTERNATIONAL NORTHWEST, LLC is the broker of record on 3 of the 5 contracts; the rest name a different broker or none.

5 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN OF NORTHWEST, LIFE INSURANCE COMPANY OF NORTH AMERICA, OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON and CIGNA HEALTH AND LIFE INSURANCE COMPANY among them — with KAISER FOUNDATION HEALTH PLAN OF NORTHWEST writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
KAISER FOUNDATION HEALTH PLAN OF NORTHWESTHealth, Dental465June$4,081,794$82,112
CIGNA HEALTH AND LIFE INSURANCE COMPANY646June$55,759$3,125
LIFE INSURANCE COMPANY OF NORTH AMERICALife, Disability646June$137,739$1,132
CANOPY EAP646June$7,386$0
OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGONDental144June$97,543$0

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