Form 5500 · Employee benefit plan · PORTLAND, OR
PENDLETON WOOLEN MILLS, INC.
The filing calls this plan STANDARD LIFE INSURANCE GROUP TERM.
Public Form 5500 records show how PENDLETON WOOLEN MILLS, INC. of PORTLAND, OR, a manufacturing employer, structures its employee benefits. Coverage is written through STANDARD INSURANCE COMPANY. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0250770 · plan 504 · plan year 2025, filed Jul 13, 2026
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
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 3 insured contracts covering life and disability; the largest, with STANDARD INSURANCE COMPANY, covers 309 people.
Reported premium is $291,823; the filing discloses no broker commission on these contracts.
The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.
No broker of record is named on the Schedule A. The contracts may be written directly with the carrier, or the broker fields were left blank on the filing.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| STANDARD INSURANCE COMPANY | Life | 309 | Jan 1, 2026 | $164,103 | $0 |
| STANDARD INSURANCE COMPANY | Disability | 310 | Jan 1, 2026 | $110,446 | $0 |
| STANDARD INSURANCE COMPANY | Disability | 96 | Jan 1, 2026 | $17,274 | $0 |
Premium and claims on these contracts
STANDARD INSURANCE COMPANY, contract 600100. For the contract year on this filing, the carrier reported $144,803 in premium earned and $30,684 in claims incurred. Dividing one by the other gives 21%.
STANDARD INSURANCE COMPANY, contract 600100. For the contract year on this filing, the carrier reported $95,653 in premium earned and $200,261 in claims incurred. Dividing one by the other gives 209%.
STANDARD INSURANCE COMPANY, contract 600100. For the contract year on this filing, the carrier reported $15,289 in premium earned and $10,366 in claims incurred. Dividing one by the other gives 68%.
- STANDARD INSURANCE COMPANY, contract 600100 reported $114,127 in retention.
- STANDARD INSURANCE COMPANY, contract 600100 reported $0 in retention.
- STANDARD INSURANCE COMPANY, contract 600100 reported $4,922 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.
Administrator and service providers
The plan administrator is from line 3a of the main form. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 14 employees, 3 recordable cases, 83 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
Other plans filed by this employer
How this plan compares
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