| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 203 N. LA SALLE STREET, FLOOR 20 CHICAGO, IL 60601 | DEAN HEALTH PLAN INC | $47K | — | $47K | 1.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 2120 PEWAUKEE ROAD STE 202 WAUKESHA, WI 531880000 | HEALTH NEW ENGLAND, INC. | $25K | — | $25K | 3.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PO BOX 2167 GRAND RAPIDS, MI 49501 | SUN LIFE ASSURANCE COMPANY OF CANADA | $57K | — | $57K | 14.45% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 5600 NEW KING DR STE 210 TROY, MI 48098 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $22K | $22K | 5.61% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 | 1933 STATE ROUTE 35 SUITE 368 WALL, NJ 07739 | SUN LIFE ASSURANCE COMPANY OF CANADA | $20K | — | $20K | 5.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | PRECIA THOMAS 2120 PEWAUKEE ROAD SUITE 202 WAUKESHA, WI 53188 | HEALTHPARTNERS INSURANCE COMPANY | — | $18K | $18K | 4.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | THOMAS PRECIA 2120 PEWAUKEE ROAD SUITE 202 WAUKESHA, WI 53188 | HEALTHPARTNERS INSURANCE COMPANY | — | $2K | $2K | 0.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | KME INSURANCE BROKERAGE LLC 1430 W POLK ST CHICAGO, IL 606074017 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 18.86% |
| M3 FINANCIAL LLC3 Filed as: M 3 FINANCIAL LLC | 828 JOHN NOLEN DRIVE MADISON, WI 537131425 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 8.09% |
| SECURA BROKERAGE LLC3 Filed as: SECURA CONSULTANTS LLC | 6465 WAYZATA BLVD STE 920 ST LOUIS PARK, MN 554261742 | PRINCIPAL LIFE INSURANCE COMPANY | $837 | — | $837 | 6.22% |
| KME INSURANCE BROKERAGE, INC.3 Filed as: KME INS BROKERAGE INC | 125 S WACKER DR STE 300 CHICAGO, IL 606064421 | PRINCIPAL LIFE INSURANCE COMPANY | $652 | — | $652 | 4.85% |
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 | 653 | 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) | 653 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | DEAN HEALTH PLAN INC | 343 | $4.0M |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 653 | $397K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 653 | $397K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 653 | $411K |
| Prescription drug | HEALTH NEW ENGLAND, INC. | 53 | $715K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 653 | $397K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 653 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.