| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12450 BRANTLEY COMMONS CT FORT MYERS, FL 33907 | BLUE CROSS BLUE SHIELD OF FLORIDA | $46K | — | $46K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 12450 BRANTLEY COMMONS CT STE 1700 FORT MYERS, FL 33907 | HEALTH OPTIONS | $17K | — | $17K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | PO BOX 1027 CLEARWATER, FL 33757 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $38K | $11K | $48K | 19.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 600 CLEVELAND ST STE 600 CLEARWATER, FL 337554151 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 3.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL LIMITED | 150 N. RIVERSIDE PLAZA STE 1700 CHICAGO, IL 60606 | PRINCIPAL LIFE INSURANCE COMPANY | — | $4K | $4K | 2.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL FLORIDA LTD | 4830 WEST KENNEDY BLVD. SUITE 850 TAMPA, FL 336092593 | HUMANA | $2K | $1K | $3K | 12.92% |
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 | 285 | 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) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF FLORIDA | 155 | $1.5M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 466 | $135K |
| Vision | HUMANA | 233 | $23K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $251K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $251K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $251K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 155 | $2.1M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $251K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 466 | — |
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."
No prospect flags tripped on this filing.