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Form 5500 · Employee benefit plan · PORTLAND, OR

UNITED EMPLOYERS ASSOCIATION

The filing calls this plan UNITED EMPLOYERS ASSOCIATION GROUP HEALTH PLAN.

UNITED EMPLOYERS ASSOCIATION of PORTLAND, OR is a 1,157-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is PCF INSURANCE SERVICES OF THE WEST. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY. The plan's most recent policy period ended in August.

Benefits broker of record
Policy year ends
Augustas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0302009 · plan 503 · plan year 2024, filed Oct 15, 2025

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

21 other employer plans in Oregon have policy years ending in August. See the full list on the renewal calendar, or ask for it in Claude or ChatGPT.

How this plan is funded

Self-funded as reported

The plan's financial statement reports paying insurance carriers far less than the premium on its insurance contracts, so most benefits were paid from plan money.

A stop-loss policy appears on a Form 5500 only when the plan itself is the beneficiary, or the premiums are paid from plan money. Many employers buy stop-loss and never report it here. So a plan with no stop-loss on its filing may still have it.

The filing says this plan is subject to the Form M-1 requirement for multiple-employer welfare arrangements.

All participants at the start of the year
1,157
Active at start of year
1,151
Active at end of year
1,105
Disclosed commissions
$436,238
Typical renewal
September 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY82 of 1,157 participants (7.1%) on the largest contract
Dentalnot declared on this filing
Visionnot declared on this filing
Lifenot declared on this filing
Disabilitynot declared on this filing

Health: the largest of the 45 insured health contracts, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 82 of 1,157 participants (7.1%) on Schedule A.

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

All 45 insured contracts are health coverage with UNITEDHEALTHCARE INSURANCE COMPANY.

Reported premium across the insured contracts is $10,039,199, with $436,238 in disclosed broker commissions — about 4.3% of premium.

The most recent policy period ended in August, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

PCF INSURANCE SERVICES OF THE WEST is the broker of record on 5 of the 45 contracts; the rest name a different broker or none.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
UNITEDHEALTHCARE INSURANCE COMPANYHealth116Sep 1, 2024$601,233$34,688
UNITEDHEALTHCARE INSURANCE COMPANYHealth71Jan 1, 2025$426,217$32,033
UNITEDHEALTHCARE INSURANCE COMPANYHealth86Jan 1, 2025$437,436$25,344
UNITEDHEALTHCARE INSURANCE COMPANYHealth64Jan 1, 2025$386,494$19,840
UNITEDHEALTHCARE INSURANCE COMPANYHealth80Jan 1, 2025$340,405$19,360
UNITEDHEALTHCARE INSURANCE COMPANYHealth36May 1, 2024$193,477$16,288
UNITEDHEALTHCARE INSURANCE COMPANYHealth174Jan 1, 2025$486,397$15,104
UNITEDHEALTHCARE INSURANCE COMPANYHealth82Aug 1, 2024$624,917$14,496
UNITEDHEALTHCARE INSURANCE COMPANYHealth45Jan 1, 2025$356,824$13,792
UNITEDHEALTHCARE INSURANCE COMPANYHealth81Jan 1, 2025$385,504$12,826
UNITEDHEALTHCARE INSURANCE COMPANYHealth31Aug 1, 2024$180,299$11,872
UNITEDHEALTHCARE INSURANCE COMPANYHealth42Jan 1, 2025$337,654$11,733
UNITEDHEALTHCARE INSURANCE COMPANYHealth40Jan 1, 2025$162,599$10,837
UNITEDHEALTHCARE INSURANCE COMPANYHealth26Jan 1, 2025$189,038$10,805
UNITEDHEALTHCARE INSURANCE COMPANYHealth39Jan 1, 2025$204,400$10,720
UNITEDHEALTHCARE INSURANCE COMPANYHealth51Jan 1, 2025$264,472$10,496
UNITEDHEALTHCARE INSURANCE COMPANYHealth31Sep 1, 2024$175,176$10,469
UNITEDHEALTHCARE INSURANCE COMPANYHealth39Jul 1, 2024$169,585$9,722
UNITEDHEALTHCARE INSURANCE COMPANYHealth33Jul 1, 2024$267,298$9,412
UNITEDHEALTHCARE INSURANCE COMPANYHealth41Jan 1, 2025$170,074$8,598
UNITEDHEALTHCARE INSURANCE COMPANYHealth40Jan 1, 2025$218,903$8,480
UNITEDHEALTHCARE INSURANCE COMPANYHealth27Jan 1, 2025$82,599$8,169
UNITEDHEALTHCARE INSURANCE COMPANYHealth38Dec 1, 2024$202,250$7,744
UNITEDHEALTHCARE INSURANCE COMPANYHealth46Jan 1, 2025$233,109$7,689
UNITEDHEALTHCARE INSURANCE COMPANYHealth29Jul 1, 2024$83,592$6,717
UNITEDHEALTHCARE INSURANCE COMPANYHealth27Jan 1, 2025$162,595$6,709
UNITEDHEALTHCARE INSURANCE COMPANYHealth59Jan 1, 2025$302,895$6,603
UNITEDHEALTHCARE INSURANCE COMPANYHealth27Jan 1, 2025$182,764$6,464
UNITEDHEALTHCARE INSURANCE COMPANYHealth34Oct 1, 2024$232,609$6,368
UNITEDHEALTHCARE INSURANCE COMPANYHealth48Jan 1, 2025$218,572$6,218
UNITEDHEALTHCARE INSURANCE COMPANYHealth26Jan 1, 2025$90,860$5,998
UNITEDHEALTHCARE INSURANCE COMPANYHealth99Dec 1, 2024$601,083$5,990
UNITEDHEALTHCARE INSURANCE COMPANYHealth63Jan 1, 2025$180,547$5,952
UNITEDHEALTHCARE INSURANCE COMPANYHealth21Jul 1, 2024$122,551$5,248
UNITEDHEALTHCARE INSURANCE COMPANYHealth21Jun 1, 2024$86,301$4,484
UNITEDHEALTHCARE INSURANCE COMPANYHealth15Jan 1, 2025$50,212$4,459
UNITEDHEALTHCARE INSURANCE COMPANYHealth23Jan 1, 2025$128,596$4,401
UNITEDHEALTHCARE INSURANCE COMPANYHealth17May 1, 2024$72,266$3,904
UNITEDHEALTHCARE INSURANCE COMPANYHealth19Jan 1, 2025$151,242$3,712
UNITEDHEALTHCARE INSURANCE COMPANYHealth8Dec 1, 2024$84,428$2,720
UNITEDHEALTHCARE INSURANCE COMPANYHealth8Jun 1, 2024$39,409$2,376
UNITEDHEALTHCARE INSURANCE COMPANYHealth8Dec 1, 2024$41,646$2,304
UNITEDHEALTHCARE INSURANCE COMPANYHealth10Jan 1, 2025$46,718$1,938
UNITEDHEALTHCARE INSURANCE COMPANYHealth7Jan 1, 2025$24,878$1,716
UNITEDHEALTHCARE INSURANCE COMPANYHealth5Jul 1, 2024$39,075$1,440

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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
UNITED EMPLOYERS ASSOCIATION
EIN 93-0302009
UEA, INC
Contract administrator · EIN 93-0991444
$163,908
paid directly by the plan
WITHUMSMITH+BROWN, PC
Accounting and audit · EIN 22-2027092
$8,881
paid directly by the plan
JB NIBLEY INSURANCE INC.
Named on Schedule C · EIN 93-0494041
$5,066
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Money the plan held and paid out

Plan assets at year end
$33,644
Paid out in benefits
$0
Independent accountantEIN 22-2027092
WITHUMSMITH+BROWN, PC
Accountant's opinion (Schedule H, line 3a)
Unmodified
Audit fee
$8,881

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

These are the plan's own figures from Schedule H, the financial statement it files. They are not the premium on Schedule A.

Other plans filed by this employer

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Renewal calendar

21 other employer plans in Oregon are September 1 renewals (policy year ends August).

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