| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITED HEALTHCARE INSURANCE COMPANY | $16K | — | $16K | 4.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITED HEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 4.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | DELTA DENTAL OF ILLINOIS | $966 | — | $966 | 3.80% |
| ASSURANCE AGENCY LTD3 Filed as: ASSURANCE AGENCY LTD. | 111 N. CANAL STREET, SUITE 550 CHICAGO, IL 60606 | DELTA DENTAL OF ILLINOIS | $301 | — | $301 | 1.18% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES | 2338 IMMOKALEE ROAD, SUITE 240 NAPLES, FL 34110 | DELTA DENTAL OF ILLINOIS | $100 | — | $100 | 0.39% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITED HEALTHCARE INSURANCE COMPANY | $402 | — | $402 | 4.21% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N. MARTINGALE ROAD, SUITE 100 SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE COMPANY | $78 | — | $78 | 0.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITED HEALTHCARE INSURANCE COMPANY | $254 | — | $254 | 4.21% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N. MARTINGALE ROAD, SUITE 100 SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE COMPANY | $49 | — | $49 | 0.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | PROTEC INSURANCE COMPANY | $371 | — | $371 | 7.76% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N. MARTINGALE ROAD, SUITE 100 SCHAUMBURG, IL 60173 | PROTEC INSURANCE COMPANY | $106 | — | $106 | 2.22% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES R. NELLIGAN & ASSOCIATES | 2338 IMMOKALEE ROAD, SUITE 240 NAPLES, FL 34110 | PROTEC INSURANCE COMPANY | $7 | — | $7 | 0.15% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES IL INC. | 500 W. MADISON, SUITE 2760 CHICAGO, IL 60661 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $139 | $6 | $145 | 15.64% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITED HEALTHCARE INSURANCE COMPANY | $36 | — | $36 | 4.21% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N. MARTINGALE ROAD, SUITE 100 SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE COMPANY | $7 | — | $7 | 0.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1411 OPUS PLACE, SUITE 450 DOWNERS GROVE, IL 60515 | UNITED HEALTHCARE INSURANCE COMPANY | $11 | — | $11 | 4.26% |
| MARSH & MCLENNAN AGENCY LLC3 | 20 N. MARTINGALE ROAD, SUITE 100 SCHAUMBURG, IL 60173 | UNITED HEALTHCARE INSURANCE COMPANY | $2 | — | $2 | 0.78% |
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 | 69 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 85 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 51 | $381K |
| Dental | DELTA DENTAL OF ILLINOIS | 51 | $25K |
| Vision | PROTEC INSURANCE COMPANY | 39 | $5K |
| Life insurance | UNITED HEALTHCARE INSURANCE COMPANY | 99 | $10K |
| Short-term disability | UNITED HEALTHCARE INSURANCE COMPANY | 74 | $30K |
| Long-term disability | UNITED HEALTHCARE INSURANCE COMPANY | 74 | $30K |
| Other(3 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 15 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.