Form 5500 · Employee benefit plan · PAYETTE, ID
WESTERN COMMUNITY ACTION PARTNERSHIP
The filing calls this plan WESTERN ACTION COMMUNITY PARTNERSHIP.
WESTERN COMMUNITY ACTION PARTNERSHIP of PAYETTE, ID is a 100-participant education employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is ADVANCED BENEFIT INC. Coverage is written through PACIFICSOURCE HEALTH PLANS and 2 other carriers. The plan's most recent policy period ended in August.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 82-6009826 · plan 501 · plan year 2025, filed Mar 17, 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.
The filing carries code 4S: this plan is filing again after previously being exempt.
Benefits declared on this filing
Also declared: death benefits.
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.
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 health, dental, vision and life; the largest, with PACIFICSOURCE HEALTH PLANS, covers 82 people.
Reported premium across the insured contracts is $1,167,698, with $53,255 in disclosed broker commissions — about 4.6% of premium.
The most recent policy period ended in August, and the plan year ends August 31. Group contracts typically renew on that annual cycle.
ADVANCED BENEFIT INC is the broker of record on 1 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including PACIFICSOURCE HEALTH PLANS, NATIONWIDE LIFE INSURANCE COMPANY and UNITED OF OMAHA LIFE INSURANCE COMPANY. PACIFICSOURCE HEALTH PLANS writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| PACIFICSOURCE HEALTH PLANS | Health | 82 | Sep 1, 2025 | $1,029,311 | $23,968 |
| NATIONWIDE LIFE INSURANCE COMPANY | Dental, Vision | 119 | Sep 1, 2025 | $102,452 | $20,302 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 63 | Sep 1, 2025 | $35,935 | $8,985 |
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.
Other plans filed by this employer
How this plan compares
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