| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 700 NORTH PEARL STREET SUITE N1700 DALLAS, TX 752012824 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $83K | $83K | 4.86% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 3635 RIVERSIDE PLAZA DRIVE RIVERSIDE, CA 92506 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $3K | $3K | 0.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $4K | $15K | 13.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $3K | $13K | 20.40% |
| ENROLLMENT ALLIANCE LLC5 Filed as: ENROLLMENT ALLIANCE, LLC | 1724 EAST 5TH AVENUE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 601 N MESA ST STE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $984 | $10K | 16.67% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $8K | 25.14% |
| ENROLLMENT ALLIANCE LLC5 Filed as: ENROLLMENT ALLIANCE, LLC | 1724 EAST 5TH AVENUE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 21.02% |
| ENROLLMENT ALLIANCE LLC5 Filed as: ENROLLMENT ALLIANCE, LLC | 1724 EAST 5TH AVENUE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $997 | $997 | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 20.74% |
| ENROLLMENT ALLIANCE LLC5 Filed as: ENROLLMENT ALLIANCE, LLC | 1724 EAST 5TH AVENUE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $749 | $749 | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 25.79% |
| ENROLLMENT ALLIANCE LLC5 Filed as: ENROLLMENT ALLIANCE, LLC | 1724 EAST 5TH AVENUE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $943 | $943 | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 601 NORTH MESA STREET SUITE 1550 EL PASO, TX 79901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $3K | 15.81% |
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 | 188 | 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) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 278 | $1.7M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 141 | $117K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 131 | $18K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 191 | $58K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 83 | $62K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 59 | $59K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 278 | $1.7M |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 191 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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.