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Form 5500 · Employee benefit plan · PORTLAND, OR

PCC STRUCTURALS, INC.

PCC STRUCTURALS, INC. of PORTLAND, OR insures health, dental, vision, life and disability coverage for its employees, per Schedule A of its Form 5500. Its broker of record is MERCER HEALTH AND BENEFITS, LLC. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST and 6 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 93-1220449 · plan 501 · as of Aug 2026

Participants
4,224
Carriers on file
13
Disclosed commissions
$161,295
Renewal month
December

Plan brief

Schedule A lists 13 insured contracts covering health, dental, vision, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, covers 2,023 people.

Reported premium across the insured contracts is $18,838,742, with $161,295 in disclosed broker commissions — about 0.9% of premium.

The health contract's policy period ended in December, while at least one ancillary line renews in July — the plan is on a split renewal cycle.

MERCER HEALTH AND BENEFITS, LLC is the broker of record on 7 of the 13 contracts; the rest name a different broker or none.

7 carriers appear on the filing — KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, LIFE INSURANCE COMPANY OF NORTH AMERICA, KAISER FOUNDATION HEALTH PLAN INC and CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES among them — with KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST writing the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
CIGNA HEALTH AND LIFE INSURANCE COMPANY827December$228,542$61,544
CIGNA HEALTH AND LIFE INSURANCE COMPANY805December$213,939$57,470
CIGNA HEALTH AND LIFE INSURANCE COMPANY832December$280,432$32,844
FEDERAL INSURANCE COMPANY17,744July$47,185$9,437
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATESVision6,201December$527,999$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTHealth2,023December$12,468,029$0
KAISER FOUNDATION HEALTH PLAN INCHealth130December$1,137,724$0
KAISER FOUNDATION HEALTH PLAN INCHealth96December$818,192$0
LIFE INSURANCE COMPANY OF NORTH AMERICADisability4,334December$1,006,256$0
HEALTH ADVOCATE SOLUTIONS, INC.245December$2,693$0
LIFE INSURANCE COMPANY OF NORTH AMERICALife4,335December$1,339,247$0
LIFE INSURANCE COMPANY OF NORTH AMERICA4,335December$132,137$0
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWESTDental1,146December$636,367$0

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