Form 5500 · Employee benefit plan · KLAMATH FALLS, OR
KLAMATH HEALTH PARTNERSHIP
KLAMATH HEALTH PARTNERSHIP of KLAMATH FALLS, OR insures health, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is HUB INTERNATIONAL NORTHWEST, LLC. Coverage is written through PACIFICSOURCE HEALTH PLANS and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-1230223 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 2 insured contracts covering health, vision, life and disability; the largest, with PACIFICSOURCE HEALTH PLANS, covers 132 people.
Reported premium across the insured contracts is $1,923,147, with $65,384 in disclosed broker commissions — about 3.4% 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.
HUB INTERNATIONAL NORTHWEST, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.
Two carriers split the book: PACIFICSOURCE HEALTH PLANS and STANDARD INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PACIFICSOURCE HEALTH PLANS | Health, Vision | 132 | December | $1,895,842 | $61,823 |
| STANDARD INSURANCE COMPANY | Life, Disability | 106 | December | $27,305 | $3,561 |
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