| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 9200 WARD PARKWAY, SUITE 500 KANSAS CITY, MO 64114 | SUN LIFE ASSURANCE COMPANY OF CANADA | $25K | $0 | $25K | 9.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 5600 NEW KING DRIVE, SUITE 210 TROY, MI 48098 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $9K | $9K | 3.48% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 7219 GRAND RIVER ROAD BRIGHTON, MI 48114 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 0.63% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL LIMITED | UNKNOWN PITTSBURG, KS 66762 | DELTA DENTAL OF KANSAS, INC. | $15K | $0 | $15K | 8.48% |
| OCI INSURANCE & FINANCIAL SERVICES3 Filed as: OCI INSURANCE & FIN SERVICES INC | 4221 NORTH 203RD STREET, SUITE 200 ELKHORN, NE 68022 | VISION SERVICE PLAN | $7K | $0 | $7K | 10.93% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 9200 WARD PARKWAY, SUITE 500 KANSAS CITY, MO 64114 | VISION SERVICE PLAN | $1K | $0 | $1K | 1.80% |
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 | 420 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 420 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF KANSAS, INC. | 420 | $174K |
| Vision | VISION SERVICE PLAN | 602 | $67K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 420 | $256K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 420 | $256K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 420 | $256K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 439 | $263K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 602 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.