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Form 5500 · Employee benefit plan · PORTLAND, OR

UNITED STATES BAKERY

The filing calls this plan UNITED STATES BAKERY HEALTH PLAN.

UNITED STATES BAKERY of PORTLAND, OR is a 1,001-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is WOODRUFF-SAWYER OREGON, INC. Coverage is written through REGENCE BLUECROSS BLUESHIELD OF OREGON and 3 other carriers. The plan's most recent policy period ended in June.

Benefits broker of record
Policy year ends
Juneas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 93-0302130 · plan 501 · plan year 2025, filed Jul 14, 2026

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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.

All participants at the start of the year
1,001
Active at start of year
996
Active at end of year
1,183
Disclosed commissions
$5,328
Typical renewal
July 1

Benefits declared on this filing

Healthinsured — REGENCE BLUECROSS BLUESHIELD OF OREGON1,367 of 1,001 participants on the largest contract
Dentalinsured — OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON1,267 of 1,001 participants on the largest contract
Visioninsured — REGENCE BLUECROSS BLUESHIELD OF OREGON1,367 of 1,001 participants on the largest contract
Lifedeclared under plan 502
Disabilitydeclared under plan 502

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 and vision; the largest, with REGENCE BLUECROSS BLUESHIELD OF OREGON, covers 1,367 people.

Reported premium across the insured contracts is $18,042,399, with $5,328 in disclosed broker commissions — about 0% of premium.

The health contract's policy period ended in June, while at least one ancillary line's policy period ended in January. The plan is on a split renewal cycle.

WOODRUFF-SAWYER OREGON, INC is the broker of record on 3 of the 6 contracts; the rest name a different broker or none.

4 carriers appear on the filing, including REGENCE BLUECROSS BLUESHIELD OF OREGON, OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON, WILLAMETTE DENTAL INSURANCE, INC. and STANDARD INSURANCE COMPANY. REGENCE BLUECROSS BLUESHIELD OF OREGON writes the largest contract by premium.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
WILLAMETTE DENTAL INSURANCE, INC.Dental205Feb 1, 2025$82,392$4,120
OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGONDental1,267Jul 1, 2025$553,645$1,208
REGENCE BLUECROSS BLUESHIELD OF OREGONHealth, Vision1,367Jul 1, 2025$12,943,101$0
REGENCE BLUECROSS BLUESHIELD OF OREGONHealth, Vision723Feb 1, 2025$4,404,306$0
STANDARD INSURANCE COMPANYDental, Vision49Jan 1, 2025$47,359$0
WILLAMETTE DENTAL INSURANCE, INC.Dental35Jul 1, 2025$11,596$0

Premium and claims on these contracts

WILLAMETTE DENTAL INSURANCE, INC., contract OR275. For the contract year on this filing, the carrier reported $82,392 in premium earned and $39,902 in claims incurred. Dividing one by the other gives 48%.

WILLAMETTE DENTAL INSURANCE, INC., contract OR238. For the contract year on this filing, the carrier reported $11,596 in premium earned and $9,499 in claims incurred. Dividing one by the other gives 82%.

  • WILLAMETTE DENTAL INSURANCE, INC., contract OR275 reported $13,595 in retention.
  • WILLAMETTE DENTAL INSURANCE, INC., contract OR238 reported $1,508 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.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
UNITED STATES BAKERY
EIN 93-0302130

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 1,912 employees, 155 recordable cases, 5,760 days away from work.

EmployeesThe company's own average for the year
1,912
Hours worked
3,649,283
Recordable cases
155
Days away from work
5,760
Establishments filed under this EIN
35

Source: OSHA Injury Tracking Application establishment data, 2025.

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