| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCES., INC. | — | BLUE CROSS BLUE SHIELD OF TEXAS | $63K | $4K | $67K | 2.06% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC. | 700 N. PEARL STREET, SUITE N1700 DALLAS, TX 75201 | STARMOUNT LIFE INSURANCE COMPANY | $31K | — | $31K | 10.26% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC | — | COMBINED INSURANCE COMPANY OF AMERICA | $24K | — | $24K | 14.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 421 W 3RD STREET SUITE 800 FORT WORTH, TX 761023749 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $7K | $15K | 17.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 421 W3RD STREET SUITE 800 FORT WORTH, TX 761023749 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $5K | $18K | 20.56% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 421 W 3RD STREET SUITE 800 FORT WORTH, TX 761023749 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $5K | $13K | 15.83% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 421 W 3RD STREET SUITE 800 FORT WORTH, TX 761023749 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $3K | $10K | 21.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 700 N PEARL STREET, ST. N1700 DALLAS, TN 75201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $282 | — | $282 | 3.74% |
| DENNIS M PETERSON3 Filed as: DENNIS PETERSON | P. O. BOX 1703 BOERNE, TX 78006 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $217 | — | $217 | 2.88% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $110 | — | $110 | 1.46% |
| SOUTH TEJAS INSURANCE AGENCY LLC3 Filed as: SOUTH TEJAS INS AGENCY, LLC | P. O. BOX 992 BOERNE, TX 78006 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $95 | — | $95 | 1.26% |
| BENEFIT ALLIANCE INC3 Filed as: BENEFIT ALLIANCE, INC. | P. O. BOX 1703 BOERNE, TX 78006 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.12% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE #1200 DALLAS, TX 75201 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.11% |
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 | 1,214 | 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) | 1,214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 1,214 | $3.3M |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 368 | $306K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 368 | $306K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 523 | $47K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 523 | $83K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF TEXAS | 1,214 | $3.3M |
| Other(5 contracts, 3 carriers) | COMBINED INSURANCE COMPANY OF AMERICA | 523 | $394K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,214 | — |
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.