| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED5 Filed as: HUB INTERNATIONAL MIDWEST LTD | 55 E JACKSON BLVD CHICAGO, IL 60604 | WELLMARK HEALTH PLAN OF IOWA, INC. | $35K | — | $35K | 0.62% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD 14A CHICAGO, IL 60604 | RELIASTAR LIFE INSURANCE COMPANY | $27K | — | $27K | 7.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD 14A CHICAGO, IL 60604 | RELIASTAR LIFE INSURANCE COMPANY | $8K | — | $8K | 2.26% |
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: HUB INTERNATIONAL NORTHWEST LIMITED | 55 E JACKSON BLVD, 12TH FLOOR CHICAGO, IL 60604 | FOUR EVER LIFE INS. CO. | $11K | — | $11K | 8.00% |
| MIDWEST BENEFITS CONSULTANTS INC. | PO BOX 10481 DES MOINES, IA 50306 | FOUR EVER LIFE INS. CO. | — | $6K | $6K | 4.00% |
| AMWINS5 | 50 WHITECAP DRIVE N KINGSTON, RI 02852 | MONUMENTAL LIFE INSURANCE CO. | $8K | — | $8K | 11.40% |
| HUB INTERNATIONAL MIDWEST LIMITED5 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD CHICAGO, IL 60604 | MONUMENTAL LIFE INSURANCE CO. | $2K | — | $2K | 3.47% |
| AMWINS5 | 50 WHITECAP DRIVE N. KINGSTON, RI 02852 | STONEBRIDGE LIFE INSURANCE | $425 | — | $425 | 3.16% |
| HUB INTERNATIONAL MIDWEST LIMITED5 Filed as: HUB INTERNATIONAL MIDWEST | 55 E. JACKSON BLVD CHICAGO, IL 60604 | STONEBRIDGE LIFE INSURANCE | $283 | — | $283 | 2.10% |
| AMWINS5 | 50 WHITECAP DRIVE N KINGSTON, RI 02852 | EXPRESS SCRIPTS, INC. | $360 | — | $360 | 10.15% |
| HUB INTERNATIONAL MIDWEST LIMITED5 Filed as: HUB INTERNATIONAL MIDWEST | 55 E JACKSON BLVD CHICAGO, IL 60604 | EXPRESS SCRIPTS, INC. | $90 | — | $90 | 2.54% |
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 | 729 | 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) | 729 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | WELLMARK HEALTH PLAN OF IOWA, INC. | 651 | $5.9M |
| Dental | DELTA DENTAL OF IOWA | 658 | $0 |
| Vision | UNITED HEALTH CARE INSURANCE COMPANY | 562 | $103K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 729 | $354K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 729 | $354K |
| Prescription drug(3 contracts, 3 carriers) | STONEBRIDGE LIFE INSURANCE | 699 | $17K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 729 | $354K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 729 | — |
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.