| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC | $54K | $22K | $76K | 1.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND, LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | DELTA DENTAL | $6K | — | $6K | 3.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | MUTUAL OF OMAHA | $10K | — | $10K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 1517 WILLOW LOOP PARK CITY, UT 84098 | MUTUAL OF OMAHA | — | $6K | $6K | 5.61% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | MUTUAL OF OMAHA | $7K | — | $7K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 1517 WILLOW LOOP PARK CITY, UT 84098 | MUTUAL OF OMAHA | — | $4K | $4K | 5.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | MUTUAL OF OMAHA | $4K | — | $4K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 1517 WILLOW LOOP PARK CITY, UT 84098 | MUTUAL OF OMAHA | — | $2K | $2K | 5.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE, LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | VSP VISION CARE | $1K | — | $1K | 4.50% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC | 1980 FESTIVAL PLAZA DR, SUITE 810 LAS VEGAS, NV 891352958 | VSP VISION CARE | $367 | — | $367 | 1.15% |
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 | 146 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC | 146 | $3.9M |
| Dental | DELTA DENTAL | 407 | $184K |
| Vision | VSP VISION CARE | 143 | $32K |
| Life insurance | MUTUAL OF OMAHA | 139 | $98K |
| Short-term disability | MUTUAL OF OMAHA | 139 | $37K |
| Long-term disability | MUTUAL OF OMAHA | 139 | $68K |
| Other | MUTUAL OF OMAHA | 139 | $98K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 407 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.