Form 5500 · Employee benefit plan · SPRINGFIELD, OR
OLSSON INDUSTRIAL ELECTRIC
OLSSON INDUSTRIAL ELECTRIC of SPRINGFIELD, OR spreads its employee benefits across 3 insurance carriers, according to its Form 5500 Schedule A. Its broker of record is USI INSURANCE SERVICES NORTHWEST. Coverage is written through PACIFICSOURCE HEALTH PLANS and 2 other carriers. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0826848 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 3 insured contracts covering health, dental, vision, life and disability; the largest, with PACIFICSOURCE HEALTH PLANS, covers 214 people.
Reported premium across the insured contracts is $1,812,685, with $76,893 in disclosed broker commissions — about 4.2% of premium.
The health contract's policy period ended in March, while at least one ancillary line renews in April — the plan is on a split renewal cycle.
USI INSURANCE SERVICES NORTHWEST 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 — PACIFICSOURCE HEALTH PLANS, STANDARD INSURANCE COMPANY and INOVA EMPLOYEE ASSISTANCE — with PACIFICSOURCE HEALTH PLANS writing the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PACIFICSOURCE HEALTH PLANS | Health | 214 | March | $1,346,583 | $40,117 |
| STANDARD INSURANCE COMPANY | Dental, Vision, Life, Disability | 389 | March | $462,459 | $36,776 |
| INOVA EMPLOYEE ASSISTANCE | — | 323 | April | $3,643 | $0 |
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