| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LILMITED | 55 E JACKSON BLVD 14TH FL STE 14A CHICAGO, IL 60604 | BLUECROSS BLUESHIELD OF TEXAS | — | $100K | $100K | 0.38% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 601 N MESA, STE 1550 EL PASO, TX 79901 | DEARBORN LIFE INSURANCE COMPANY | $379K | $5K | $383K | 15.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 3221 COLLINSWORTH ST FORT WORTH, TX 761075730 | METROPOLITAN LIFE INSURANCE COMPANY | $58K | $66 | $58K | 19.76% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 3221 COLLINSWORTH ST FORT WORTH, TX 761075730 | METROPOLITAN LIFE INSURANCE COMPANY | $31K | $66 | $31K | 19.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | 3221 COLLINSWORTH ST FORT WORTH, TX 761075730 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.40% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | 3221 COLLINSWORTH ST FORT WORTH, TX 761075730 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.75% |
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 | 3,745 | 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) | 3,745 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 3,561 | $26.0M |
| Dental | AMERITAS | 979 | $202K |
| Vision(2 contracts, 2 carriers) | AMERITAS | 3,637 | $377K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 3,745 | $2.6M |
| Short-term disability(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 3,745 | $3.2M |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 3,745 | $2.5M |
| Prescription drug(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 3,561 | $26.7M |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | NATIONWIDE | 523 | $657K |
| Other(5 contracts, 4 carriers) | DEARBORN LIFE INSURANCE COMPANY | 3,745 | $3.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,745 | — |
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.