| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 6100 S YALE AVE, STE 1900 TULSA, OK 74136 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $63K | — | $63K | 2.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNAT | 9200 WARD PARKWAY STE 500 KANSAS CITY, MO 64114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $9K | $21K | 11.09% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNAT | 9200 WARD PARKWAY STE 500 KANSAS CITY, MO 64114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22K | $4K | $26K | 23.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 6100 S YALE AVE STE 1900 TULSA, OK 741361947 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $65 | $5K | 10.14% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DR 40 W MADISON 4TH FL BOA LB SVCS CHICAGO, IL 606930162 | METROPOLITAN LIFE INSURANCE COMPANY | — | $821 | $821 | 1.76% |
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 | 434 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 434 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 542 | $2.9M |
| Dental | DELTA DENTAL OF KANSAS, INC | 597 | $0 |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 522 | $47K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 434 | $186K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 434 | $186K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 434 | $186K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 542 | $2.9M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 434 | $295K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 597 | — |
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.