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Form 5500 · Employee benefit plan · PORTLAND, OR

ROSE VILLA INC

ROSE VILLA INC of PORTLAND, OR files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is PCF INSURANCE SERVICES OF THE WEST. Coverage is written through UNITED OF OMAHA LIFE INSURANCE COMPANY and 3 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 93-0471873 · plan 501 · as of Jul 2026

Participants
124
Carriers on file
4
Disclosed commissions
$7,036
Renewal month
December

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsCommission
UNITED OF OMAHA LIFE INSURANCE COMPANYDental, Life135December$6,130
EYEMED VISION CARE ON BEHALF OF THE FIDELITY INSURANCE COMPANYVision94December$737
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY1December$169
UNITEDHEALTHCARE INSURANCE COMPANYHealth123December$0

Questions

Who is ROSE VILLA INC's benefits broker?

Per its most recent Form 5500 Schedule A, ROSE VILLA INC's broker of record is PCF INSURANCE SERVICES OF THE WEST.

What insurance carrier does ROSE VILLA INC use?

ROSE VILLA INC's benefit plan is written through UNITED OF OMAHA LIFE INSURANCE COMPANY, among 4 disclosed carriers.

When does ROSE VILLA INC's group plan renew?

The most recent Schedule A policy period for ROSE VILLA INC ended in December. Group plans typically renew on the same annual cycle.

Where does this data come from?

All figures are drawn from ROSE VILLA INC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.