Form 5500 · Employee benefit plan · PORTLAND, OR
GROUNDWORKS SERVICES, INC.
GROUNDWORKS SERVICES, INC. of PORTLAND, OR spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is BROWN & BROWN INSURANCE SERVICES. 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 47-4261045 · plan 501 · 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 130 people.
Reported premium across the insured contracts is $801,313, with $3,508 in disclosed broker commissions — about 0.4% 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.
BROWN & BROWN INSURANCE SERVICES is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing — UNITEDHEALTHCARE INSURANCE COMPANY, OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON and USABLE LIFE — with UNITEDHEALTHCARE INSURANCE COMPANY writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 62 | December | $64,725 | $1,984 |
| UNITEDHEALTHCARE INSURANCE COMPANY | Health, Vision | 130 | December | $732,132 | $1,097 |
| USABLE LIFE | Life | 198 | December | $4,456 | $427 |
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.
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