Form 5500 · Employee benefit plan · WEST LINN, OR
WILLAMETTE FALLS PAPER COMPANY
The filing calls this plan WILLAMETTE FALLS PAPER COMPANY EMPLOYEE BENEFIT PLAN.
Public Form 5500 records show how WILLAMETTE FALLS PAPER COMPANY of WEST LINN, OR, a manufacturing employer, structures its employee benefits. Its broker of record is THE PARTNERS GROUP LTD. Coverage is written through KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST and 2 other carriers. The plan's most recent policy period ended in July.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 84-2210035 · plan 501 · plan year 2024, filed Feb 25, 2025
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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.
Benefits declared on this filing
Also declared: other welfare.
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, life and disability; the largest, with KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, covers 306 people.
Reported premium across the insured contracts is $2,322,589, with $74,616 in disclosed broker commissions — about 3.2% of premium.
The most recent policy period ended in July, and the plan year ends July 31. Group contracts typically renew on that annual cycle.
THE PARTNERS GROUP LTD is the broker of record on 2 of the 3 contracts; the rest name a different broker or none.
3 carriers appear on the filing, including KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST writes the largest contract by premium.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | Health | 306 | Aug 1, 2024 | $2,010,128 | $52,718 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Life, Disability | 212 | Aug 1, 2024 | $178,338 | $15,206 |
| OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | Dental | 174 | Aug 1, 2024 | $134,123 | $6,692 |
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.
How this plan compares
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