| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED5 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 102 OMAHA, NE 68154 | WELLMARK BLUE CROSS & BLUE SHIELD OF IOWA | $34K | $0 | $34K | 1.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $4K | $11K | 16.94% |
| HUB INTERNATIONAL MIDWEST LIMITED4 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 105 OMAHA, NE 68154 | VISION SERVICE PLAN | $4K | $0 | $4K | 9.66% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INS CO | $4K | $0 | $4K | 21.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INS CO | $3K | $0 | $3K | 18.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $876 | $2K | 15.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INS CO | $5K | $0 | $5K | 37.67% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INS CO | $3K | $0 | $3K | 24.73% |
| UNITED OF OMAHA LIFE INSURANCE CO5 | MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | — |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL GREAT PLAINS LLC | 11516 MIRACLE HILLS DRIVE, STE 100 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $500 | $0 | $500 | — |
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 | 356 | 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) | 356 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS & BLUE SHIELD OF IOWA | 300 | $3.0M |
| Dental | DELTA DENTAL OF IOWA | 278 | $0 |
| Vision | VISION SERVICE PLAN | 197 | $46K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 356 | $16K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 320 | $0 |
| Stop-loss / reinsurancereinsurance | WELLMARK BLUE CROSS & BLUE SHIELD OF IOWA | 300 | $3.0M |
| Other(7 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 356 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 356 | — |
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.