Form 5500 · Employee benefit plan · PORTLAND, OR
EVANS COMPONENTS INC
EVANS COMPONENTS INC of PORTLAND, OR insures health, dental, vision and life coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL NORTHWEST LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in September.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1300178 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision and life; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 157 people.
Reported premium across the insured contracts is $1,399,429, with $8,679 in disclosed broker commissions — about 0.6% of premium.
The most recent policy period ended in September, and the plan year ends September 30. Group contracts typically renew on that annual cycle.
HUB INTERNATIONAL NORTHWEST LLC 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 — UNITEDHEALTHCARE INSURANCE COMPANY, OREGON DENTAL SERVICES DBA DELTA DENTAL PLAN OF OREGON and AFLAC — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| AFLAC | — | 43 | September | $41,715 | $7,181 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Vision, Life | 157 | September | $1,286,408 | $1,498 |
| OREGON DENTAL SERVICES DBA DELTA DENTAL PLAN OF OREGON | Dental | 172 | September | $71,306 | $0 |
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