| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, SUITE 10 OMAHA, NE 68154 | SANFORD HEALTH PLAN | $23K | $0 | $23K | 1.52% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT ROAD, SUITE 240 SAINT CLOUD, MN 56301 | SANFORD HEALTH PLAN | $8K | $0 | $8K | 0.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE SUITE 100 OMAHA, NE 68154 | UNITED OF OMAHA INSURANCE COMPANY | $12K | $0 | $12K | 11.30% |
| NORTHRISK PARTNERS LLC3 | PO BOX 10 THEIF RIVER FALLS, MN 56701 | UNITED OF OMAHA INSURANCE COMPANY | $4K | $6K | $10K | 9.52% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PARKWAY WEST BLDG 16 SUITE 320 BLUE BELL, PA 19422 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $967 | $6K | 5.50% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT ROAD, SUITE 240 SAINT CLOUD, MN 56301 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $3K | $5K | 5.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE SUITE 100 OMAHA, NE 68154 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $44 | $4K | 4.05% |
| ENROLLEASE3 Filed as: ENROLLEASE INC | 7979 OLD GEORGETOWN ROAD, SUITE 300 BETHESDA, MD 20814 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP A DIV OF HUB INTL | 11516 MIRACLE HILLS DRIVE OMAHA, NE 68154 | SUPERIOR VISION | $2K | $0 | $2K | 9.94% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT ROAD SAINT CLOUD, MN 56301 | SUPERIOR VISION | $923 | $0 | $923 | 4.97% |
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 | 300 | 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) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SANFORD HEALTH PLAN | 205 | $1.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 252 | $106K |
| Vision | SUPERIOR VISION | 175 | $19K |
| Life insurance | UNITED OF OMAHA INSURANCE COMPANY | 106 | $107K |
| Short-term disability | UNITED OF OMAHA INSURANCE COMPANY | 106 | $107K |
| Long-term disability | UNITED OF OMAHA INSURANCE COMPANY | 106 | $107K |
| Prescription drug | SANFORD HEALTH PLAN | 205 | $1.5M |
| Other(2 contracts, 2 carriers) | SANFORD HEALTH PLAN | 205 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 252 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.