| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB HERATLAND LLC | 8044 MONTGOMERY ROAS, SUITE 640 CINCINNATI, OH 45236 | MEDICAL MUTUAL | $20K | $318 | $20K | 0.97% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 SIXTH AVENUE, 30TH FLOOR PITTSBURGH, PA 15222 | MEDICAL MUTUAL | $18K | $994 | $19K | 0.92% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 2730 SIDNEY STREET, SUITE 330 PITTSBURGH, PA 15203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $10K | $22K | 18.05% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BOULEVARD FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 4.12% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BOULEVARD, FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.89% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP, INC. | 210 6TH AVENUE, 30TH FLOOR PITTSBURGH, PA 15222 | DELTA DENTAL OF OHIO | $5K | $0 | $5K | 8.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB HERATLAND LLC | 8044 MONTGOMERY ROAS, SUITE 640 CINCINNATI, OH 45236 | DELTA DENTAL OF OHIO | $1K | $0 | $1K | 1.86% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 6805 AVERY-MUIRFIELD DRIVE SUITE 10 DUBLIN, OH 43016 | VISION SERVICE PLAN | $806 | $0 | $806 | 4.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB HERATLAND LLC | 8044 MONTGOMERY ROAS, SUITE 640 CINCINNATI, OH 45236 | VISION SERVICE PLAN | $223 | $0 | $223 | 1.26% |
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 | 237 | 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) | 237 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL MUTUAL | 144 | $2.1M |
| Dental | DELTA DENTAL OF OHIO | 275 | $67K |
| Vision | VISION SERVICE PLAN | 127 | $18K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 237 | $124K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 237 | $124K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 237 | $124K |
| Prescription drug | MEDICAL MUTUAL | 144 | $2.1M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 237 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 275 | — |
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.