| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER | PO BOX 387 NEW RICHMOND, WI 540170387 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $47 | $2K | 3.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | PO BOX 2158 RIVERSIDE, CA 925162158 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $45 | $1K | 1.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DR 40 W MADISON 4TH FL BOA LOCK BOX SV CHICAGO, IL 606930162 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $290 | $290 | 0.39% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER & ASSOCIATES INC. | STE 200 1477 S. KNOWLES AVENUE NEW RICHMOND, WI 54017 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $398 | $5K | 9.60% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LIMI | STE 101 333 N GREENE ST GREENSBORO, NC 27401 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $211 | $2K | 3.53% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER & ASSOCIATES INC. | STE 200 1477 S. KNOWLES AVENUE NEW RICHMOND, WI 54017 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $198 | $3K | 10.91% |
| TRUEBENEFITS LLC3 | SUITE 1900 1325 4TH AVENUE SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $628 | $84 | $712 | 3.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL SOUTHEAST | 8081 ARCO CORPORATE DR STE 10 RALEIGH, NC 27617 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $538 | $63 | $601 | 2.55% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER ASSOCIATES INC | STE 200 1477 S KNOWLES AVENUE NEW RICHMOND, WI 540170387 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $172 | $2K | 10.09% |
| TRUEBENEFITS LLC3 | SUITE 1900 1325 4TH AVENUE SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $676 | $90 | $766 | 3.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL SOUTHEAST | 8081 ARCO CORPORATE DR STE 10 RALEIGH, NC 27617 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $604 | $71 | $675 | 3.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | DBA HUB INT SOUTHEAST PO BOX 939 BURLINGTON, NC 27216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $305 | $3K | 19.29% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER & ASSOCIATES INC. | STE 200 1477 S. KNOWLES AVENUE NEW RICHMOND, WI 54017 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $147 | — | $147 | 0.96% |
| TRUEBENEFITS LLC3 | SUITE 1900 1325 4TH AVENUE SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $52 | — | $52 | 0.34% |
| J A COUNTER & ASSOCIATES INC5 Filed as: JA COUNTER & ASSOCIATES | 1477 SOUTH KNOWLES AVENUE NEW RICHMOND, WI 54017 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | $0 | $1K | 8.80% |
| HUB INTERNATIONAL MIDWEST LIMITED5 Filed as: HUB INTERNATIONAL LIMITED | 1001 MOREHEAD SQUARE DRIVE CHARLOTTE, NC 28203 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $141 | $0 | $141 | 1.18% |
| J A COUNTER & ASSOCIATES INC3 Filed as: JA COUNTER ASSOCIATES INC | STE 200 1477 S. KNOWLES AVENUE NEW RICHMOND, WI 540170387 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $551 | $46 | $597 | 10.41% |
| TRUEBENEFITS LLC3 | SUITE 1900 1325 4TH AVENUE SEATTLE, WA 98101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $160 | $0 | $160 | 2.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL SOUTHEAST | 8081 ARCO CORPORATE DR STE 10 RALEIGH, NC 27617 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $153 | $0 | $153 | 2.67% |
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 | 171 | 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) | 171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 206 | $74K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 148 | $12K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 140 | $29K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 81 | $54K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 52 | $22K |
| Other(4 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 206 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.