| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOC INC | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 2.27% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY INC | 333 W 34TH ST FL 2 NEW YORK, NY 100012402 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 0.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | THE PAUL REVERE LIFE INSURANCE COMPANY | $5K | — | $5K | 15.30% |
| THE WORKSIGHT GROUP LLC3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1K | $2K | $3K | 10.13% |
| AIKEN ENTERPRISES LLC3 | 341 GILLIGAN RD HUDSON, NY 12534 | THE PAUL REVERE LIFE INSURANCE COMPANY | $3K | $135 | $3K | 9.18% |
| C & L REED ASSOCIATES LLC3 | 3300 SHIPLEY ST LADSON, SC 29456 | THE PAUL REVERE LIFE INSURANCE COMPANY | $812 | $179 | $991 | 2.92% |
| LORRAINE RHODES3 | 1465 ROUTE 29 GALWAY, NY 12074 | THE PAUL REVERE LIFE INSURANCE COMPANY | $437 | $234 | $671 | 1.97% |
| VENESSA N DEAN3 | 92 LIMEWOOD AVE BRANFORD, CT 06405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $645 | $4 | $649 | 1.91% |
| BRAD BIEL3 | 2 GOLD ST NEW YORK, NY 10038 | THE PAUL REVERE LIFE INSURANCE COMPANY | $220 | — | $220 | 0.65% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | THE PAUL REVERE LIFE INSURANCE COMPANY | $150 | — | $150 | 0.44% |
| DAVID L FLEURY3 | 545 SOUTH MAIN ST PROVIDENCE, RI 02903 | THE PAUL REVERE LIFE INSURANCE COMPANY | $121 | — | $121 | 0.36% |
| ROSEANN REYNOLDS3 | 163 CEDAR ST BRANFORD, CT 06405 | THE PAUL REVERE LIFE INSURANCE COMPANY | $105 | — | $105 | 0.31% |
| BRIAN R WADE3 | 42 PUTTING GREEN LANE PROSPECT, CT 06712 | THE PAUL REVERE LIFE INSURANCE COMPANY | $80 | — | $80 | 0.24% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON RD THOMASTON, CT 06795 | THE PAUL REVERE LIFE INSURANCE COMPANY | $43 | — | $43 | 0.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES,INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | DELTA DENTAL OF VIRGINIA | $2K | — | $2K | 6.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | EYE MED VISION CARE | $737 | — | $737 | 5.86% |
| THE SEGAL COMPANY3 Filed as: SIBSON CONSULTING(DIV OF SEGAL)NY | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYE MED VISION CARE | $310 | — | $310 | 2.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOC. MELVILLE, NY | 461 PANTIGO ROAD EAST HAMPTON, NM 11937 | EYEMED VISION CARE | $400 | — | $400 | 6.61% |
| THE SEGAL COMPANY3 Filed as: SIBSON CONSULTING DIVISION OF SEGAL | 333 WEST 34TH STREET NEW YORK, NY 10001 | EYEMED VISION CARE | $154 | — | $154 | 2.55% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $205 | — | $205 | 4.32% |
| VENESSA N DEAN3 | 92 LIMEWOOD AVENUE BRANFORD, CT 06405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $117 | — | $117 | 2.46% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $113 | — | $113 | 2.38% |
| DAVID L FLEURY3 Filed as: DAVID L FIEURY | 545 SOUTH MAIN ST PROVIDENCE, RI 02903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.53% |
| GAIL STEWART GOLD3 | 11919 SUNFLOWER LANE RICHMOND, VA 23236 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.46% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON RD WATERTOWN, CT 06795 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC | 461 PANTIAGO ROAD EAST HAMPTON, NY 11937 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $132 | — | $132 | 3.95% |
| VENESSA N DEAN3 | 92 LIMEWOOD AVE BRANFORD, CT 06405 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $85 | — | $85 | 2.54% |
| PENELOPE DEAN KENNY3 | 3555 S OCEAN BLVD APT 215 S PALM BEACH, FL 33480 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 1.86% |
| GAIL STEWART GOLD3 Filed as: GAIL STEWARD GOLD | 11919 SUNFLOWER LANE RICHMOND, VA 23236 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | — | $36 | 1.08% |
| DAVID L FLEURY3 | 545 SOUTH MAIN ST PROVIDENCE, RI 02903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.48% |
| EILEEN SANCHEZ MEDINA3 Filed as: EILEEN E BERG | 319 THOMASTON RD WATERTOWN, CT 06795 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.48% |
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 | 168 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 50 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF VIRGINIA | 60 | $23K |
| Vision(2 contracts, 2 carriers) | EYE MED VISION CARE | 213 | $19K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 216 | $321K |
| Short-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 216 | $321K |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 216 | $321K |
| Other(3 contracts, 2 carriers) | THE PAUL REVERE LIFE INSURANCE COMPANY | 41 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 216 | — |
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.