| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 100 SUNNYSIDE BLVD WOODBURY, NY 11797 | AETNA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 1393 VETERANS MEMORIAL HIGHWAY SUITE 210N HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $5K | $9K | 9.77% |
| FRED C. CHURCH INC.3 Filed as: FRED C CHURCH INC. | 41 WELLMAN ST. LOWELL, MA 01851 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $571 | $0 | $571 | 0.62% |
| ANDREW E. PETRONE3 Filed as: ANDREW E PETRONE | 15 ELM LANE SHREWSBURY, NJ 07702 | GUARDIAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 7.04% |
| RONALD J RENAUD3 | KATYDID DRIVE WEST CREEK, NJ 08092 | GUARDIAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 7.04% |
| PETRONE ASSOCIATES, INC3 Filed as: PETRONE ACCOCIATES | — | GUARDIAN LIFE INSURANCE COMPANY | $187 | $0 | $187 | 1.20% |
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 | 516 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 525 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 673 | $292K |
| Vision | AETNA LIFE INSURANCE COMPANY | 673 | $292K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 413 | $108K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 413 | $92K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 413 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 673 | — |
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.