| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRIME THERAPUTICS3 Filed as: PRIME THERAPEUTICS MANAGEMENT, LLC | 2900 AMES CROSSING ROAD STE. 200 EAGAN, MN 55121 | PRIME THERAPEUTICS MANAGEMENT, LLC | $1K | — | $1K | 0.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1205 CEDAR RD. KRONENWETTER, WI 54455 | SUN LIFE ASSURANCE COMPANY OF CANADA | $22K | — | $22K | 16.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 5600 NEW KING DR STE 210 TROY, MI 48098 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $8K | $8K | 5.99% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 | 1933 STATE ROUTE 35 STE. 368 WALL, NJ 07719 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 5.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LTD DBA COMPA | 1205 CEDAR RD MOSINEE, WI 54455 | WYSSTA INSURANCE COMPANY INC | $1K | — | $1K | 9.12% |
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 | 191 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | WYSSTA INSURANCE COMPANY INC | 126 | $16K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 187 | $132K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 187 | $132K |
| Prescription drug | PRIME THERAPEUTICS MANAGEMENT, LLC | 125 | $214K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 187 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.