| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | AETNA LIFE INSURANCE COMPANY & AFFILIATES | $391K | $0 | $391K | 2.57% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: M & T INSURANCE AGENCY INC. | 285 DELAWARE AVENUE, SUITE 4000 BUFFALO, NY 14202 | HEALTH NOW NEW YORK INC. | $195K | $0 | $195K | 2.04% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: M & T INSURANCE AGENCY | 101 SOUTH SALINA STREET, 4TH FLOOR SYRACUSE, NY 13202 | EXCELLUS BLUE CROSS BLUE SHIELD | $28K | $0 | $28K | 4.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES, INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | MUTUAL OF OMAHA INSURANCE COMPANY | $66K | $2K | $68K | 15.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES, INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | NSLIJ CARE CONNECT HEALTH INSURANCE INC. | $26K | $0 | $26K | 6.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | EMBLEM HEALTH | $12K | $0 | $12K | 3.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES, INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | SECURITY HEALTH INSURANCE COMPANY OF AMERICA, NY, INC | $15K | $0 | $15K | 4.35% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | COMPANION LIFE INSURANCE COMPANY | $43K | $1K | $45K | 15.51% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES, INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | EMPIRE HEALTH CHOICE HMO INC. | $6K | $0 | $6K | 2.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: COOK MARAN & ASSOCIATES, INC. | 461 PANTIGO ROAD EAST HAMPTON, NY 11937 | VISION SERVICE PLAN | $4K | $0 | $4K | 2.09% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: M & T INSURANCE AGENCY INC. | 285 DELAWARE AVE, SUITE 4000 BUFFALO, NY 14202 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $3K | $5K | 6.06% |
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 | 4,976 | 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) | 4,976 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 6 carriers) | AETNA LIFE INSURANCE COMPANY & AFFILIATES | 2,722 | $26.3M |
| Dental(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY & AFFILIATES | 2,149 | $16.2M |
| Vision | VISION SERVICE PLAN | 2,002 | $177K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY & AFFILIATES | 3,240 | $15.5M |
| Short-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY & AFFILIATES | 2,851 | $15.7M |
| Long-term disability(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY & AFFILIATES | 2,851 | $15.7M |
| Prescription drug | HEALTH NOW NEW YORK INC. | 2,722 | $9.5M |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY & AFFILIATES | 2,851 | $15.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,240 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.