| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 600 CLEVELAND STREET, SUITE 600 CLEARWATER, FL 33755 | BLUE CROSS BLUE SHIELD OF FLORIDA | $71K | — | $71K | 6.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 1027 CLEARWATER, FL 33757 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $4K | $24K | 19.74% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 600 CLEVELAND STREET, SUITE 600 CLEARWATER, FL 33755 | HEALTH OPTIONS | $7K | — | $7K | 6.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 600 CLEVELAND STREET, SUITE 600 CLEARWATER, FL 33755 | UNION SECURITY INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 2158 RIVERSIDE, CA 92501 | UNION SECURITY INSURANCE COMPANY | — | $3K | $3K | 3.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | 600 CLEVELAND STREET, SUITE 600 CLEARWATER, FL 33755 | ADVANTICA REINSURANCE COMPANY | $1K | — | $1K | 10.00% |
| GO GLOBAL ENTERPRISES LLC4 | 3880 WEST HIGHWAY 316 REDDICK, FL 32686 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $350 | — | $350 | 15.13% |
| HUB INTERNATIONAL MIDWEST LIMITED4 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | PO BOX 1027 CLEARWATER, FL 33757 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $182 | — | $182 | 7.87% |
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 | 125 | 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) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 93 | $1.3M |
| Dental | UNION SECURITY INSURANCE COMPANY | 96 | $83K |
| Vision | ADVANTICA REINSURANCE COMPANY | 225 | $13K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $123K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $123K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $123K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF FLORIDA | 93 | $1.3M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $126K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 225 | — |
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.