| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT. MOUNTAIN STATES LTD | 157 RIVER VISTA DRIVE TWIN FALLS, ID 83301 | PAN-AMERICA LIFE INSURANCE COMPANY | — | $54K | $54K | 328.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT. MOUNTAIN STATES LTD | 157 RIVER VISTA DRIVE TWIN FALLS, ID 83301 | PAN-AMERICA LIFE INSURANCE COMPANY | $8K | — | $8K | 49.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT. MOUNTAIN STATES LTD | 157 RIVER VISTA DRIVE TWIN FALLS, ID 83301 | PAN-AMERICA LIFE INSURANCE COMPANY | — | $2K | $2K | 14.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT. MOUNTAIN STATES LTD | 157 RIVER VISTA DRIVE TWIN FALLS, ID 83301 | PAN-AMERICA LIFE INSURANCE COMPANY | — | $2K | $2K | 13.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT. MOUNTAIN STATES LTD | 157 RIVER VISTA DRIVE TWIN FALLS, ID 83301 | PAN-AMERICA LIFE INSURANCE COMPANY | — | $1K | $1K | 8.93% |
| TRUDY DANE4 Filed as: TRUDY R DANE | PO BOX 5099 TWIN FALLS, ID 83301 | BLUE CROSS OF IDAHO | — | $36K | $36K | — |
| TONI PRICE4 Filed as: TONI L PRICE | PO BOX 5099 TWIN FALLS, ID 83301 | BLUE CROSS OF IDAHO | — | $2K | $2K | — |
| TRUDY DANE3 Filed as: TRUDY R DANE | PO BOX 5099 TWIN FALLS, ID 83303 | BLUE CROSS OF IDAHO | $628 | — | $628 | — |
| TONI PRICE3 Filed as: TONI L PRICE | PO BOX 5099 TWIN FALLS, ID 83301 | BLUE CROSS OF IDAHO | $628 | — | $628 | — |
| TRUDY DANE3 Filed as: TRUDY R DANE | 157 RIVER VISTA DRIVE TWIN FALLS, ID 83301 | UNITED HERITAGE LIFE INSURANCE COMPANY | — | $579 | $579 | — |
| TONI PRICE3 Filed as: TONI L PRICE | PO BOX 5099 TWIN FALLS, ID 83301 | UNITED HERITAGE LIFE INSURANCE COMPANY | — | $579 | $579 | — |
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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PAN-AMERICA LIFE INSURANCE COMPANY | 114 | $16K |
| Dental | BLUE CROSS OF IDAHO | 13 | $0 |
| Vision | UNITED HERITAGE LIFE INSURANCE COMPANY | 7 | $0 |
| Stop-loss / reinsurancereinsurance | PAN-AMERICA LIFE INSURANCE COMPANY | 114 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 114 | — |
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.
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.