Form 5500 · Employee benefit plan · PORTLAND, OR
HABITAT FOR HUMANITY PORTLAND METRO/EAST
The filing calls this plan HABITAT FOR HUMANITY PORTLAND METRO/EAST BENEFIT PLANS.
HABITAT FOR HUMANITY PORTLAND METRO/EAST of PORTLAND, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PROPEL INSURANCE AGENCY, LLC. Coverage is written through PROVIDENCE HEALTH SYSTEMS and 3 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0801200 · plan 501 · plan year 2025, filed Sep 10, 2026
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How this plan is funded
Fully insured as reported
The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.
The filing carries code 4S: this plan is filing again after previously being exempt.
Benefits declared on this filing
Also declared: death benefits, 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 4 insured contracts covering health, dental, vision, life and disability; the largest, with PROVIDENCE HEALTH SYSTEMS, covers 128 people.
Reported premium across the insured contracts is $774,979, with $31,561 in disclosed broker commissions — about 4.1% 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.
PROPEL INSURANCE AGENCY, LLC is the broker of record on 2 of the 4 contracts; the rest name a different broker or none.
4 carriers appear on the filing, including PROVIDENCE HEALTH SYSTEMS, THE LINCOLN NATIONAL LIFE INSURANCE COMPANY, AMERITAS LIFE INSURANCE CORP. and KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST. PROVIDENCE HEALTH SYSTEMS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PROVIDENCE HEALTH SYSTEMS | Health | 128 | Jan 1, 2026 | $679,614 | $20,388 |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | Health, Dental, Life, Disability | 107 | Jan 1, 2026 | $84,828 | $5,793 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health, Dental | 58 | Jan 1, 2026 | — | $4,326 |
| AMERITAS LIFE INSURANCE CORP. | Vision | 200 | Jan 1, 2026 | $10,537 | $1,054 |
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.
Other plans filed by this employer
How this plan compares
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