| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3510 N CAUSEWAY BLVD STE 200 METAIRIE, LA 70002 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $146K | — | $146K | 3.79% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | 15162 COLLECTIONS CENTER DRIVE CHICAGO, IL 606930001 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $77K | — | $77K | 2.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3510 N CAUSEWAY BLVD MATAIRIE, LA 70002 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $118K | — | $118K | 3.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 500 COUNTRY PINE LANE BATTLE CREEK, MI 490154177 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $89K | — | $89K | 3.00% |
| CARRION, LAFFITTE & CASELLAS, INC.3 Filed as: CARRION LAFFITTE & CASELLAS | 255 AVE PONCE DE LEON SAN JUAN, PR 00917 | TRIPLE S SALUD, INC. | $16K | — | $16K | 2.90% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES OF PR | AON CENTER 304 PONCE DE LEON, SUITE 1000 SAN JUAN, PR 00918 | TRIPLE S SALUD, INC. | $12K | — | $12K | 2.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CHOICE HEALTH PLAN EIN 97-0768835 CONTRACT ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | — | $3.6M |
| UNITED HEALTH CARE EIN 36-2739571 CONTRACT ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | — | $3.0M |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 CONTRACT ADMINISTRATOR | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $1.4M |
| PRUDENTIAL INSURANCE CO OF AMERICA EIN 22-1211670 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $1.3M |
| AON HEWITT EIN 36-2235791 NONE | Consulting (pension); Direct payment from the plan Service code 17 | — | $868K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 CONTRACT ADMINISTRATOR | Claims processing; Direct payment from the plan Service code 12 | — | $711K |
| UNITED BEHAVIORAL HEALTH EIN 94-2649097 CONTRACT ADMINISTRATOR | Direct payment from the plan; Consulting (pension) Service code 17 | — | $543K |
| ROC GROUP NONE | Claims processing Service code 12 | 300 E. RANDOLPH ST SUITE 3400 CHICAGO, IL 60601 | $383K |
| ERNST & YOUNG EIN 34-6565596 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $81K |
| BLUECHOICE HEALTHPLAN OF SC, INC. NONE | Direct payment from the plan; Claims processing Service code 12 | PO BOX 6170 AX-405 COLUMBIA, SC 292606170 | $9K |
| NORTHERN TRUST CORPORATION EIN 36-1561860 NONE | Other fees Service code 99 | — | $6K |
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 | 16,129 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,484 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 17,613 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC. | 89 | $558K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 9,139 | $3.9M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 7,463 | $3.0M |
| Prescription drug | TRIPLE S SALUD, INC. | 89 | $558K |
| Other | TRIPLE S SALUD, INC. | 89 | $558K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,139 | — |
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.