Form 5500 · Employee benefit plan · MAUPIN, OR
DODGE LOGGING, INC.
The filing calls this plan DODGE LOGGING INC WELFARE BENEFIT PLAN.
DODGE LOGGING, INC. of MAUPIN, OR is a 107-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is JOHN J. DAVIDSON. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF OREGON and 4 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-0917286 · plan 503 · plan year 2024, filed Jun 29, 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.
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 5 insured contracts covering health, dental, vision and life; the largest, with REGENCE BLUECROSS BLUESHIELD OF OREGON, covers 45 people.
Reported premium across the insured contracts is $440,239, with $16,623 in disclosed broker commissions — about 3.8% 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.
JOHN J. DAVIDSON is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
5 carriers appear on the filing, including REGENCE BLUECROSS BLUESHIELD OF OREGON, METROPOLITAN LIFE INSURANCE COMPANY, COLONIAL LIFE & ACCIDENT INSURANCE COMPANY and EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO.. REGENCE BLUECROSS BLUESHIELD OF OREGON writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health | 45 | Jan 1, 2025 | $406,559 | $12,775 |
| METROPOLITAN LIFE INSURANCE COMPANY | Dental, Life | 83 | Jan 1, 2025 | $25,649 | $2,967 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | — | 4 | Jan 1, 2025 | $3,166 | $580 |
| EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | Vision | 38 | Jan 1, 2025 | $2,897 | $301 |
| PROVIDENCE HEALTH PLAN | — | 102 | Jan 1, 2025 | $1,968 | $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.
How this plan compares
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