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Form 5500 · Employee benefit plan · PORTLAND, OR

IMPACT NW

IMPACT NW's employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is HEFFERNAN INSURANCE BROKERS. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST and 4 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 93-0557964 · plan 501 · as of Jul 2026

Participants
174
Carriers on file
5
Disclosed commissions
$42,961
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth, Vision154December$22,482
PRINCIPAL LIFE INSURANCE COMPANYDental, Life, Disability210December$12,546
HEALTHIESTYOU120December$4,862
WILLAMETTE DENTAL INSURANCE, INC.Dental104December$3,071
CANOPY190December$0

Questions

Who is IMPACT NW's benefits broker?

Per its most recent Form 5500 Schedule A, IMPACT NW's broker of record is HEFFERNAN INSURANCE BROKERS.

What insurance carrier does IMPACT NW use?

IMPACT NW's benefit plan is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, among 5 disclosed carriers.

When does IMPACT NW's group plan renew?

The most recent Schedule A policy period for IMPACT NW ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from IMPACT NW's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.