| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: WALSH DUFFIELD COMPANIES, INC | 801 MAIN STREET BUFFALO, NY 14203 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $8K | $220 | $8K | 9.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: WALSH DUFFIELD COMPANIES, INC | 801 MAIN STREET BUFFALO, NY 14203 | VISION SERVICE PLAN | $943 | $0 | $943 | 6.09% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PROBENEFITS ADMINISTRATORS EIN 16-1514371 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $11K |
| WALSH DUFFIELD COMPANIES, INC EIN 16-0413770 BROKER | Insurance agents and brokers Service code 22 | — | $10K |
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 | 229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 232 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENT HEALTH | 322 | $1.8M |
| Vision | VISION SERVICE PLAN | 88 | $15K |
| Life insurance | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 229 | $87K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 229 | $87K |
| Prescription drug | INDEPENDENT HEALTH | 322 | $1.8M |
| Other | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 229 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 322 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.