Form 5500 · Employee benefit plan · PORTLAND, OR
GRIFFITH RUBBER MILLS
GRIFFITH RUBBER MILLS of PORTLAND, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is ALLIANT INSURANCE SERVICES, INC.. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 2 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0179560 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 5 insured contracts covering health, dental and life; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 335 people.
Reported premium across the insured contracts is $1,902,682, with $3,563 in disclosed broker commissions — about 0.2% 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.
ALLIANT INSURANCE SERVICES, INC. is the broker of record on 1 of the 5 contracts; the rest name a different broker or none.
3 carriers appear on the filing — UNITEDHEALTHCARE INSURANCE COMPANY, BENISTAR GROUP RETIREE HEALTH SOLUTIONS and PACIFICSOURCE HEALTH PLANS — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| BENISTAR GROUP RETIREE HEALTH SOLUTIONS | Health | 8 | December | $57,631 | $1,422 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Life | 456 | December | $50,583 | $838 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 335 | December | $897,234 | $483 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health | 160 | December | $897,234 | $483 |
| PACIFICSOURCE HEALTH PLANS | Dental | 104 | December | — | $337 |
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