| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3635 RIVERSIDE PLAZA DR SUITE 300 RIVERSIDE, CA 92506 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $125K | — | $125K | 5.99% |
| LOUIS R. FORMENTINI3 | 1853 PRAIRIE STREET GLENVIEW, IL 60025 | EYEMED VISION CARE | $41K | — | $41K | 2.45% |
| LOUIA R. FORMENTINI3 | 1853 PRAIRIE STREET GLENVIEW, IL 60025 | EYEMED VISION CARE | $18K | — | $18K | 2.47% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3635 RIVERSIDE PLAZA DR SUITE 300 RIVERSIDE, CA 92506 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $29K | — | $29K | 4.49% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 2167 GRAND RAPIDS BATTLE CREEK, MI 49501 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 2.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BLVD CHICAGO, IL 60604 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $4K | — | $4K | 1.06% |
| AON CONSULTING INC3 Filed as: AON | 199 WATER STREET NEW YORK, NY 10038 | ZURICH AMERICAN INSURANCE COMPANY | $8K | — | $8K | 30.00% |
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 | 16,670 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 392 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 17,062 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 85 | $406K |
| Vision(2 contracts) | EYEMED VISION CARE | 14,169 | $2.4M |
| Life insurance(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 16,406 | $2.7M |
| Other | ZURICH AMERICAN INSURANCE COMPANY | 12,054 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,406 | — |
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."
No prospect flags tripped on this filing.