Form 5500 · Employee benefit plan · PORTLAND, OR
FRATERNAL ORDER OF POLICE - MEMBER BENEFITS TRUST
The filing calls this plan EMPLOYEE WELFARE BENEFIT PLAN OF THE FRATERNAL ORDER OF POLICE - MEMBER BENEFITS TRUST.
Public Form 5500 records show how FRATERNAL ORDER OF POLICE - MEMBER BENEFITS TRUST of PORTLAND, OR, a finance and insurance employer, structures its employee benefits. Its broker of record is COORDINATED BENEFITS DBA BASIN PACI. Coverage is written through RELIANCE STANDARD LIFE INSURANCE COMPANY. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 91-6532370 · plan 501 · plan year 2024, filed Oct 13, 2025
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24 other employer plans in Oregon have policy years ending in July. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
How this plan is funded
Self-funded as reported
The filing reports benefits paid from the plan's own money, and no medical insurance contract on Schedule A.
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
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 3 insured contracts covering life and disability; the largest, with RELIANCE STANDARD LIFE INSURANCE COMPANY, covers 964 people.
The filing declares life, disability and health. Health appears with no insured contract on Schedule A. That coverage may be self-funded, or placed with a carrier that is not on this filing.
Reported premium across the insured contracts is $624,402, with $90,307 in disclosed broker commissions — about 14% of premium.
The most recent policy period ended in July, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
COORDINATED BENEFITS DBA BASIN PACI is the broker of record on all 3 contracts.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 964 | Aug 1, 2025 | $366,177 | $52,960 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Disability | 964 | Aug 1, 2025 | $155,001 | $22,418 |
| RELIANCE STANDARD LIFE INSURANCE COMPANY | Life | 964 | Aug 1, 2025 | $103,224 | $14,929 |
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.
Money the plan held and paid out
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.
How this plan compares
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Renewal calendar
24 other employer plans in Oregon are August 1 renewals (policy year ends July).
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