| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD CHICAGO, IL 60604 | BLUECROSS AND BLUESHIELD OF ILLINOIS | $97K | $13K | $109K | 0.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD CHICAGO, IL 60604 | BLUECROSS AND BLUESHIELD OF ILLINOIS | — | $30K | $30K | 0.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $34K | $50K | $83K | 3.47% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $19K | $17K | $36K | 8.35% |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $28K | $3K | $30K | 7.04% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $6K | $17K | 3.87% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $204 | $204 | 0.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEE BENEFITS DEPT 55 E JACKSON BVLD #14A CHICAGO, IL 60604 | UNUM INSURANCE COMPANY | $29K | $6K | $35K | 18.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWESET LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $5K | $4K | $10K | 8.45% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES, LLC DALLAS SERIE | DEPT 3042 PO BOX 123042 DALLAS, TX 753123042 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $7K | $1K | $8K | 6.95% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $3K | $1K | $4K | 3.77% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 MNETWORK PLACE CHICAGO, IL 606731298 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $223 | $223 | 0.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $3K | $6K | 7.06% |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $463 | $5K | 5.82% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $1K | $4K | 3.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $128 | $128 | 0.14% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $55 | $55 | 0.06% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | FIRST UNUM LIFE INSURANCE COMPANY | — | $3K | $3K | 4.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEES BENEFIT DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY | $12K | $2K | $14K | 23.00% |
| VAN LEUVAN, RICHARD W3 | STE 615 3101 TOWERCREEK PARKWAY ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 2.58% |
| FISC INVESTMENT SERVICES CORP3 Filed as: FISC INVESTMENT SERVICES | CORPORATION 160 CLAIREMONT AVE STE 455 DECATUR, GA 30030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $878 | $878 | 1.79% |
| BROYLES, CHRISTOPHER LYNN3 | SUITE 150,2878 JOHNSON FERRY RD MARIETTA, GA 30062 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $585 | — | $585 | 1.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $4K | $2K | $6K | 13.46% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | $453 | $2K | 5.65% |
| LOCKTON COMPANIES, LLC3 | DALLAS SERIES, DEPT 3042 PO BOX 123042 DALLAS, TX 753123042 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | $196 | $2K | 3.80% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $1K | $1K | 3.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 203 N. LASALLE STREET, 20TH FLOOR CHICAGO, IL 60601 | HAWAII DENTAL SERVICE | $772 | — | $772 | 2.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 203 N LA SALLE ST FL 20 CHICAGO, IL 60601 | FEDERAL INSURANCE COMPANY | $5K | $882 | $6K | 17.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD CHICAGO, IL 60604 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $1K | — | $1K | 3.25% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $483 | — | $483 | 4.83% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $34 | $3 | $37 | 0.37% |
| STEVEN PERSKY & ASSOCIATES LTD3 | STE 200 6 W HUBBARD STREET CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $363 | — | $363 | 4.35% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $18 | $2 | $20 | 0.24% |
| WISTED, DANIEL, J3 | PRESTON RDG IV STE 325 3440 PRESTON RIDGE RD ALPHARETTA, GA 30005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $127 | $192 | $319 | 4.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $102 | $1K | 14.73% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $415 | $198 | $613 | 11.08% |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $285 | $37 | $322 | 5.82% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $178 | $54 | $232 | 4.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $265 | $265 | 5.00% |
| WISTED, DANIEL, J3 | PRESTON RDG IV STE 325 3440 PRESTON RIDGE RD ALPHARETTA, GA 30005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $103 | $95 | $198 | 4.80% |
| STEVEN PERSKY & ASSOCIATES LTD3 | STE 200 6 W HUBBARD STREET CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $147 | — | $147 | 4.90% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6 | $1 | $7 | 0.23% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 606731298 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $63 | $63 | 4.19% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.80% |
| STEVEN PERSKY & ASSOCIATES LTD3 | STE 200 6 W HUBBARD ST CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $67 | — | $67 | 4.85% |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5 | $1 | $6 | 0.43% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC-CHICAGO SERIES | 500 W MONROE STE 3400 CHICAGO, IL 60661 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11 | — | $11 | 2.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $2K | $10K | — |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $837 | $4K | — |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $269 | $4K | — |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | — |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $872 | $3K | — |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $248 | $1K | — |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC 125 S WACKER DR STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $592 | $592 | — |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES 500 W MONROE STE 3400 CHICAGO, IL 60661 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $484 | $34 | $518 | — |
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 | 1,436 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 43 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,479 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUECROSS AND BLUESHIELD OF ILLINOIS | 2,254 | $20.8M |
| Dental(2 contracts, 2 carriers) | BLUECROSS AND BLUESHIELD OF ILLINOIS | 2,254 | $20.2M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 987 | $139K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,446 | $2.4M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 26 | $5K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,446 | $2.4M |
| Prescription drug(4 contracts, 4 carriers) | BLUECROSS AND BLUESHIELD OF ILLINOIS | 2,254 | $20.8M |
| Other(22 contracts, 7 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,487 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,254 | — |
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.