| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLAGE BOULEVARD, SUITE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | $142K | $40K | $182K | 4.99% |
| MARSH & MCLENNAN AGENCY LLC3 | 2300 RENAISSANCE BOULEVARD KING OF PURSSIA, PA 19406 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $99K | $99K | 2.73% |
| CHILD HEALTH CORP OF AMERICA3 | 16011 COLLEGE BOULEVARD, SUITE 250 LENEXA, KS 66219 | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $2K | $7K | 0.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | 40 EAST ALAMAR AVENUE SANTA BARBARA, CA 93105 | AMERITAS LIFE INSURANCE CORPORATION | $0 | $21K | $21K | 2.64% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS LLC | 1300 WEST 57TH STREET, SUITE 101 SIOUX FALLS, SD 57108 | RELIASTAR LIFE INSURANCE COMPANY | $31K | $0 | $31K | 6.10% |
| ALKEME INSURANCE SERVICES INC3 | 211 SOUTH 23RD STREET, SUITE 100 PLATTSMOUTH, NE 68048 | RELIASTAR LIFE INSURANCE COMPANY | $18K | $0 | $18K | 3.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | 600 CORPORATE POINTE, FLOOR 6 CULVER CITY, CA 90230 | RELIASTAR LIFE INSURANCE COMPANY | $17K | $0 | $17K | 3.45% |
| KEELER & ASSOCIATES3 | 211 SOUTH, 23RD STREET PLATTSMOUTH, NE 68048 | RELIASTAR LIFE INSURANCE COMPANY | $9K | $0 | $9K | 1.83% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: CLARENCE GALLAGHER | 211 SOUTH, 23RD STREET PLATTSMOUTH, NE 68048 | RELIASTAR LIFE INSURANCE COMPANY | $626 | $0 | $626 | 0.13% |
| SHAWN KEELER3 | 211 SOUTH, 23RD STREET PLATTSMOUTH, NE 68048 | RELIASTAR LIFE INSURANCE COMPANY | $626 | $0 | $626 | 0.13% |
| KEELER & ASSOCIATES3 Filed as: KEELER & ASSOCIATES INC | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | SYMETRA LIFE INSURANCE COMPANY | $28K | $0 | $28K | 12.69% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES | PO BOX 5345 RIVERSIDE, CA 92517 | SYMETRA LIFE INSURANCE COMPANY | $28K | $0 | $28K | 12.69% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS | 11516 MIRACLE HILLS DRIVE SUITE 100 OMAHA, NE 68154 | SYMETRA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 2.38% |
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 | 3,861 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,881 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 5,046 | $811K |
| Life insurance | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 3,861 | $3.6M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 3,861 | $3.6M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 3,861 | $3.6M |
| Other(3 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY | 3,861 | $4.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,046 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.