| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $54K | — | $54K | 4.42% |
| KENT A. BROOKS INS SVCS, INC.3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $30K | — | $30K | 2.45% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | KAISER FOUNDATION HEALTH PLAN INC. | $16K | — | $16K | 3.52% |
| BROOKS JUCHA & ASSOCIATES3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | KAISER FOUNDATION HEALTH PLAN INC. | $10K | — | $10K | 2.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 6.06% |
| KENT A. BROOKS INS SVCS, INC.3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $884 | — | $884 | 3.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 5.96% |
| KENT A. BROOKS INS SVCS, INC.3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $825 | — | $825 | 4.04% |
| KENT A. BROOKS INS SVCS, INC.3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | VISION SERVICE PLAN | $563 | — | $563 | 2.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | VISION SERVICE PLAN | $540 | — | $540 | 2.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $449 | — | $449 | 5.96% |
| KENT A. BROOKS INS SVCS, INC.3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $304 | — | $304 | 4.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SVCS INC. | 5375 MIRA SORRENTO PLACE, SUITE 400 SAN DIEGO, CA 92121 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $317 | — | $317 | 6.04% |
| KENT A. BROOKS INS SVCS, INC.3 | 11405 W. BERNARDO COURT SAN DIEGO, CA 92127 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $208 | — | $208 | 3.96% |
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 | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 132 | $1.7M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 132 | $1.2M |
| Vision | VISION SERVICE PLAN | 133 | $20K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $22K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $8K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $20K |
| Prescription drug(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 132 | $1.7M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.