| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 6100 SOUTH YALE STREET, SUITE 1900 TULSA, OK 74136 | UNITEDHEALTHCARE INSURANCE | $55K | $2K | $57K | 4.12% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 5314 SOUTH YALE AVENUE, SUITE 900 TULSA, OK 74135 | UNITEDHEALTHCARE INSURANCE | $23K | $11K | $33K | 11.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 844501 DALLAS, TX 75284 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $0 | $12K | 6.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 40 WEST MADISON, 4TH FLOOR CHICAGO, IL 60693 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.21% |
| CFR, INC.3 | 5314 SOUTH YALE, SUITE 900 TULSA, OK 74135 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $14K | $0 | $14K | 19.35% |
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 | 308 | 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) | 308 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | UNITEDHEALTHCARE INSURANCE | 306 | $1.7M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 637 | $185K |
| Vision | VISION SERVICE PLAN | 308 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 637 | $185K |
| Short-term disability | AMERICAN GENERAL LIFE INSURANCE COMPANY | 195 | $74K |
| Long-term disability | AMERICAN GENERAL LIFE INSURANCE COMPANY | 195 | $74K |
| Prescription drug(2 contracts) | UNITEDHEALTHCARE INSURANCE | 306 | $1.7M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 637 | $185K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 637 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.