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Form 5500 · Employee benefit plan · MILWAUKIE, OR

EYEHEALTH NORTHWEST PC

EYEHEALTH NORTHWEST PC of MILWAUKIE, OR spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is DURHAM & BATES AGENCIES INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.

Benefits broker of record
Plan renews
December

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1014730 · plan 501 · as of Aug 2026

Participants
542
Carriers on file
4
Disclosed commissions
$20,684
Renewal month
December

Plan brief

Schedule A lists 4 insured contracts covering health, dental, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 492 people.

Reported premium across the insured contracts is $1,581,230, with $20,684 in disclosed broker commissions — about 1.3% 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.

DURHAM & BATES AGENCIES INC is the broker of record on 3 of the 4 contracts; the rest name a different broker or none.

3 carriers appear on the filing — CIGNA HEALTH AND LIFE INSURANCE COMPANY, OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON and UNITED OF OMAHA LIFE INSURANCE COMPANY — with CIGNA HEALTH AND LIFE INSURANCE COMPANY writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGONDental680December$375,061$11,269
UNITED OF OMAHA LIFE INSURANCE COMPANYDisability555December$175,308$5,753
UNITED OF OMAHA LIFE INSURANCE COMPANYLife555December$43,233$3,662
CIGNA HEALTH AND LIFE INSURANCE COMPANYHealth492December$987,628$0

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