| 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 | $94K | $64K | $158K | 0.85% |
| 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 | $40K | $51K | $92K | 3.79% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $5K | $12K | 3.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEE BENEFITS DEPT 55 E JACKSON BVLD #14A CHICAGO, IL 60604 | UNUM INSURANCE COMPANY | $34K | $7K | $41K | 18.00% |
| 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 | — | $4K | $4K | 3.87% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC DALLAS SERIES | DEPT 3042 PO BOX 123042 DALLAS, TX 75312 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $7K | $1K | $8K | 8.57% |
| 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 | $4K | $1K | $5K | 5.04% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | $961 | $3K | 3.16% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $2K | $2K | 2.34% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | — | $1K | $1K | 1.45% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 MNETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $263 | — | $263 | 0.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEES BENEFIT DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY | $14K | $2K | $16K | 23.06% |
| 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 | $8K | $10K | 19.97% |
| 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 | $8K | $10K | 19.97% |
| LOCKTON COMPANIES, LLC3 | C/O BANK OF AMERICA 15939 COLLECTIONS CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $436 | $5K | 9.63% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $330 | $2K | 3.53% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $330 | $2K | 3.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD CHICAGO, IL 60604 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $2K | — | $2K | 3.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD CHICAGO, IL 60604 | FEDERAL INSURANCE COMPANY | $5K | $816 | $6K | 17.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | $3K | $5K | 16.34% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES, LLC- | DALLAS SERIES DEPT 3042 PO BOX 123042 DALLAS, TX 75312 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $2K | $196 | $2K | 6.13% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $1K | $221 | $1K | 4.46% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $478 | — | $478 | 4.45% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC-CHICAGO SERIES | C/O BANK OF AMERICA 15939 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $23 | $4 | $27 | 0.25% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO, LLC CHICAGO SERIES | C/O BANK OF AMERICA 15939 COLLECTIONS CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $120 | $2K | 17.12% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $446 | — | $446 | 4.76% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC-CHICAGO SERIES | C/O BANK OF AMERICA 15939 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $31 | $5 | $36 | 0.38% |
| WISTED, DANIEL, J3 | PRESTON RDG IV STE 325 3440 PRESTON RIDGE RD ALPHARETTA, GA 30005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $150 | $237 | $387 | 4.57% |
| LOCKTON COMPANIES, LLC3 | CHICAGO SERIES C/O BANK OF AMERICA 15939 COLLECTIONS CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $400 | $77 | $477 | 7.23% |
| 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 | $185 | $64 | $249 | 3.77% |
| KME INSURANCE BROKERAGE, INC.3 | C/O KME INSURANCE BROKERAGE INC STE 300 CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $135 | $21 | $156 | 2.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $260 | $260 | 5.01% |
| WISTED, DANIEL, J3 | PRESTON RDG IV STE 325 3440 PRESTON RIDGE RD ALPHARETTA, GA 30005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $95 | $87 | $182 | 4.74% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $136 | — | $136 | 4.85% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC-CHICAGO SERIES | C/O BANK OF AMERICA 15939 COLLECTION CENTER DR CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6 | $1 | $7 | 0.25% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $85 | — | $85 | 4.73% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC-CHICAGO SERIES | 300 SOUTH WACKER DR STE 2000 A CHICAGO, IL 60606 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6 | $1 | $7 | 0.39% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $102 | — | $102 | 7.28% |
| STEVEN PERSKY & ASSOCIATES LTD3 | 6 W HUBBARD STREET STE 200 CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.79% |
| JAGGER, JOHN, R3 | 1085 LULLWATER RD NE ATLANTA, GA 30307 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $28 | — | $28 | 6.65% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON CO., LLC-CHICAGO SERIES | C/O BANK OF AMERICA 15939 COLLECTIONS CENTER DR CHICAGO, IL 60693 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $21 | — | $21 | 5.00% |
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 | 1,070 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,090 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUECROSS AND BLUESHIELD OF ILLINOIS | 2,198 | $19.5M |
| Dental(2 contracts, 2 carriers) | BLUECROSS AND BLUESHIELD OF ILLINOIS | 2,198 | $18.8M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 979 | $148K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,447 | $2.4M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 28 | $5K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,447 | $2.4M |
| Prescription drug(4 contracts, 4 carriers) | BLUECROSS AND BLUESHIELD OF ILLINOIS | 2,198 | $19.5M |
| Other(21 contracts, 7 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,511 | $3.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,198 | — |
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.