| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EQUINOX BENEFITS SOLUTIONS LLC3 | 267 KENTLANDS BLVD., SUITE 515 GAITHERSBURG, MD 20878 | UNITED HEALTHCARE INSURANCE COMPANY | — | $88K | $88K | 2.24% |
| EQUINOX BENEFITS SOLUTIONS LLC3 Filed as: EQUINOX BENEFIT SOLUTIONS LLC | 267 KENTLANDS BLVD., SUITE 515 GAITHERSBURG, MD 20878 | METROPOLITAN LIFE INSURANCE COMPANY | $44K | — | $44K | 6.64% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | — | $12K | 1.78% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.32% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 55 E JACKSON BLVD FL 14 CHICAGO, IL 606044466 | METROPOLITAN LIFE INSURANCE COMPANY | $290 | $54 | $344 | 0.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DR 40 W MADISON 4TH FL BANK OF AMERICA CHICAGO, IL 606930162 | METROPOLITAN LIFE INSURANCE COMPANY | — | $51 | $51 | 0.01% |
| EQUINOX BENEFITS SOLUTIONS LLC3 | 267 KENTLANDS BLVD., SUITE 515 GAITHERSBURG, MD 20878 | KAISER FOUNDATION HEALTH PLAN INC. | $4K | — | $4K | 2.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 E JACKSON BLVD CHICAGO, IL 606044466 | KAISER FOUNDATION HEALTH PLAN INC. | $2K | — | $2K | 1.36% |
| EQUINOX BENEFITS SOLUTIONS LLC3 Filed as: EQUINOX BENEFIT SOLUTIONS LLC | 267 KENTLANDS BLVD STE 515 GAIATHERSBURG, MD 208785446 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 15.62% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 3.91% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $559 | $559 | 2.11% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 55 E JACKSON BLVD FL 14 CHICAGO, IL 606044466 | METROPOLITAN LIFE INSURANCE COMPANY | — | $54 | $54 | 0.20% |
| EQUINOX BENEFITS SOLUTIONS LLC3 Filed as: EQUINOX BENEFITS SOLUTIONS | 267 KENTLANDS BLVD STE 515 GAITHERSBURG, MD 20878 | METLIFE LEGAL PLANS | $1K | — | $1K | 5.66% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 15174 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | METLIFE LEGAL PLANS | $871 | $65 | $936 | 4.56% |
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 | 360 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 361 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 727 | $4.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 738 | $666K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 738 | $666K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 738 | $666K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 738 | $666K |
| Prescription drug(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 727 | $4.1M |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 738 | $713K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 738 | — |
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."
No prospect flags tripped on this filing.