| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-AMERICA | 6100 S YALE AVE, STE 1900 TUSLA, OK 74136 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $64K | — | $64K | 2.85% |
| 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 | $11K | $2K | $13K | 7.51% |
| 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 | $20K | $737 | $20K | 20.75% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 6100 S YALE AVE STE 1900 TULSA, OK 741361947 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $45 | $5K | 11.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL | 16253 COLLECTION CENTER DR 40 W MADISON 4TH FL CHICAGO, IL 606930162 | METROPOLITAN LIFE INSURANCE COMPANY | — | $698 | $698 | 1.63% |
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 | 394 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 394 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 570 | $2.2M |
| Dental | DELTA DENTAL OF KANSAS, INC | 289 | $0 |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 872 | $43K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 394 | $174K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 394 | $174K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 394 | $174K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 570 | $2.2M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 394 | $272K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 872 | — |
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.