| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | TOTAL HEALTH CARE USA INC | $16K | — | $16K | 4.76% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | BLUE CARE NETWORK OF MICHIGAN | $15K | — | $15K | 5.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | AMERITAS LIFE INSURANCE CORP | $3K | — | $3K | 5.02% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | MUTUAL OF OMAHA INSURANCE COMPANY | $2K | $886 | $3K | 14.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | MUTUAL OF OMAHA INSURANCE COMPANY | $2K | $802 | $3K | 19.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 10.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | MUTUAL OF OMAHA INSURANCE COMPANY | $604 | $263 | $867 | 14.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INSURANCE A | 3055 44TH STREET SW GRANDVILLE, MI 49418 | MUTUAL OF OMAHA INSURANCE COMPANY | $527 | $233 | $760 | 14.43% |
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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 208 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CARE NETWORK OF MICHIGAN | 46 | $266K |
| Dental | AMERITAS LIFE INSURANCE CORP | 233 | $52K |
| Vision(2 contracts, 2 carriers) | TOTAL HEALTH CARE USA INC | 119 | $352K |
| Life insurance | MUTUAL OF OMAHA INSURANCE COMPANY | 200 | $5K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 200 | $16K |
| Prescription drug(2 contracts, 2 carriers) | TOTAL HEALTH CARE USA INC | 78 | $608K |
| Other(2 contracts) | MUTUAL OF OMAHA INSURANCE COMPANY | 93 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 233 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.