| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | UNITEDHEALTHCARE INSURANCE COMPANY | $67K | — | $67K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNAT | 6100 SOUTH YALE AVE STE 900 TULSA, OK 74136 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $642 | $8K | 9.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNAT | 6100 SOUTH YALE AVE STE 900 TULSA, OK 74136 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $16K | $608 | $17K | 20.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 6100 S YALE AVE STE 1900 TULSA, OK 741361947 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $54 | $4K | 9.31% |
| BENEFITSTORE INC3 | 100 BENEFITFOCUS WAY CHARLESTON, SC 294928378 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 2.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DR 40 W MADISON 4TH FL BOA LOCK BOX SV CHICAGO, IL 606930162 | METROPOLITAN LIFE INSURANCE COMPANY | — | $537 | $537 | 1.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: GBS A DIVISION OF HUB INTERNAT | 6100 SOUTH YALE AVE STE 900 TULSA, OK 74136 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $309 | $6K | 15.75% |
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 | 923 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 923 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 565 | $2.2M |
| Dental | DELTA DENTAL OF KANSAS, INC | 282 | $0 |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 923 | $47K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $86K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 151 | $41K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $86K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $167K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 923 | — |
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.