| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD,SUITE 14B CHICAGO, IL 60604 | BLUECROSS BLUESHIELD OF ILLINOIS | $84K | $2K | $86K | 2.95% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | EMPLOYEE BENEFITS DEPARTMENT 55 EAST JACKSON BOULEVARD,SUITE 14A CHICAGO, IL 60604 | AETNA LIFE INSURANCE COMPANY | $6K | — | $6K | 4.84% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BOULEVARD 12TH FL CHICAGO, IL 60604 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $8K | $2K | $11K | 19.30% |
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 | 334 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF ILLINOIS | 290 | $2.9M |
| Dental | AETNA LIFE INSURANCE COMPANY | 276 | $124K |
| Vision | AETNA LIFE INSURANCE COMPANY | 276 | $124K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 324 | $56K |
| Prescription drug | BLUECROSS BLUESHIELD OF ILLINOIS | 290 | $2.9M |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 324 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 324 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.