| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | 300 BALLARDVALE STREET WILMINGTON, IL 01887 | UNITEDHEALTHCARE INSURANCE COMPANY | $47K | $0 | $47K | 2.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 299 BALLARDVALE STREET WILMINGTON, MA 01887 | UNITEDHEALTHCARE INSURANCE COMPANY | $15K | $0 | $15K | 0.95% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $4K | $4K | 0.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 3635 RIVERSIDE PLAZA DRIVE RIVERSIDE, IL 92506 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $3K | $3K | 0.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | 299 BALLARDVALE STREET, SUITE 2 WILMINGTON, IL 01887 | AFLAC | $2K | $0 | $2K | 5.92% |
| RYAN BENEFITS INC3 Filed as: RYAN TAVARES | 10 WILLOW STREET DERRY, NH 03038 | AFLAC | $633 | $0 | $633 | 2.00% |
| ELIZABETH K. HODGE3 | PO BOX 776 VILLAGE MILLS, TX 77663 | AFLAC | $488 | $0 | $488 | 1.54% |
| MJ INSURANCE3 Filed as: JEFFREY S. BLOCKER & VARIOUS AGENTS | 3 BARNESDALE ROAD NATICK, MA 01760 | AFLAC | $223 | $0 | $223 | 0.71% |
| KAREN J MCDONALD3 Filed as: KAREN J. MCDONALD | PO BOX 8105 LUMBERTON, TX 77657 | AFLAC | $209 | $0 | $209 | 0.66% |
| DAVID S HALLETT3 Filed as: DAVID S. HALLETT | 8 BROOKS STREET WINCHESTER, MA 01890 | AFLAC | $111 | $0 | $111 | 0.35% |
| MITCHELL J MCCALL3 Filed as: MITCHELL J. MCCALL | 3 STONERIDGE DRIVE KEOKUK, IA 52632 | AFLAC | $88 | $0 | $88 | 0.28% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Life insurance(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Short-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Other(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 223 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.