Form 5500 · Employee benefit plan · FOREST GROVE, OR
PACIFIC UNIVERSITY
The filing calls this plan PACIFIC UNIVERSITY EMPLOYEE BENEFITS PLAN.
PACIFIC UNIVERSITY of FOREST GROVE, OR insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is NONSTOP ADMIN. AND INS. SERVICES. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF OREGON and 5 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0386892 · plan 501 · plan year 2025, filed Aug 25, 2026
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744 other employer plans in Oregon have policy years ending in December. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.
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.
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 6 insured contracts covering health, dental, vision, life and disability; the largest, with REGENCE BLUECROSS BLUESHIELD OF OREGON, covers 596 people.
Reported premium across the insured contracts is $10,161,686, with $15,252 in disclosed broker commissions — about 0.2% 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.
NONSTOP ADMIN. AND INS. SERVICES is the broker of record on 1 of the 6 contracts; the rest name a different broker or none.
6 carriers appear on the filing, including REGENCE BLUECROSS BLUESHIELD OF OREGON, KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, STANDARD INSURANCE COMPANY and WILLAMETTE DENTAL INSURANCE, INC.. REGENCE BLUECROSS BLUESHIELD OF OREGON writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life, Disability | 729 | Jan 1, 2026 | $593,169 | $15,252 |
| REGENCE BLUECROSS BLUESHIELD OF OREGON | Health, Dental | 596 | Jan 1, 2026 | $5,565,325 | $0 |
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health, Dental | 909 | Jan 1, 2026 | $3,704,248 | $0 |
| WILLAMETTE DENTAL INSURANCE, INC. | Dental | 293 | Jan 1, 2026 | $156,625 | $0 |
| VISION SERVICE PLAN | Vision | 451 | Jan 1, 2026 | $121,687 | $0 |
| CANOPY | — | 739 | Jan 1, 2026 | $20,632 | $0 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 163529. For the contract year on this filing, the carrier reported $593,169 in premium earned and $420,383 in claims incurred. Dividing one by the other gives 71%.
WILLAMETTE DENTAL INSURANCE, INC., contract OR406. For the contract year on this filing, the carrier reported $156,625 in premium earned and $138,078 in claims incurred. Dividing one by the other gives 88%.
- STANDARD INSURANCE COMPANY, contract 163529 reported $309,642 in retention.
- WILLAMETTE DENTAL INSURANCE, INC., contract OR406 reported $16,446 in retention.
Retention is what the carrier kept of the premium after claims, as reported: administration, commissions and other charges.
Only experience-rated contracts report these figures, so most filings leave them blank.
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.
Reported to OSHA
Reported to OSHA for 2025: 1,628 employees, 8 recordable cases, 6 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
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