Form 5500 · Employee benefit plan · TIGARD, OR
AVAMERE HEALTH SERVICES, LLC
The filing calls this plan AVAMERE HEALTH SERVICES, LLC EMPLOYEE HEALTH CARE PLAN.
AVAMERE HEALTH SERVICES, LLC of TIGARD, OR spreads its employee benefits across 7 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is EXPLAIN MY BENEFITS, LLC. Coverage is written through OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON and 6 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 20-8027608 · plan 501 · plan year 2025, filed Jul 28, 2026
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744 other employer plans in Oregon have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Both, as reported
The medical insurance contracts on the filing cover fewer than half the people in the plan, so the rest is paid another way.
A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.
Benefits declared on this filing
Health: the largest of the 2 insured health contracts, with KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, covers 72 of 4,052 participants (1.8%) on Schedule A.
Disability: STANDARD INSURANCE COMPANY covers 202 of 4,052 participants (5%) on Schedule A.
Also declared: 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 10 insured contracts covering health, dental, vision, life and disability; the largest, with OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON, covers 1,513 people.
Reported premium across the insured contracts is $3,860,194, with $305,027 in disclosed broker commissions — about 7.9% 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.
EXPLAIN MY BENEFITS, LLC is the broker of record on 1 of the 10 contracts; the rest name a different broker or none.
7 carriers appear on the filing, including OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON, KAISER FOUNDATION HEALTH PLAN OF WASHINGTON, STANDARD INSURANCE COMPANY and VISION SERVICE PLAN. OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | — | 851 | Jan 1, 2026 | $540,480 | $190,468 |
| STANDARD INSURANCE COMPANY | Life | 952 | Jan 1, 2026 | $298,935 | $56,906 |
| STANDARD INSURANCE COMPANY | Disability | 202 | Jan 1, 2026 | $150,776 | $27,890 |
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 1,513 | Jan 1, 2026 | $1,016,423 | $12,807 |
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 940 | Jan 1, 2026 | $566,255 | $7,204 |
| VISION SERVICE PLAN | Vision | 1,403 | Jan 1, 2026 | $270,333 | $5,242 |
| LEGALPLANS, USA | — | 211 | Jan 1, 2026 | $45,100 | $4,510 |
| KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | Health | 72 | Jan 1, 2026 | $729,604 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 22 | Jan 1, 2026 | $174,295 | $0 |
| CANOPY | — | 3,746 | Jan 1, 2026 | $67,993 | $0 |
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.
Other plans filed by this employer
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