| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 | 2118 N TYLER BLDG C WICHITA, KS 67212 | AETNA | $0 | $20K | $20K | 4.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 2118 N TYLER BLDG C WICHITA, KS 67212 | DELTA DENTAL OF KANSAS, INC. | $4K | — | $4K | 8.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | HUB INTERNATIONAL MID-AMERICA 2118 N TYLER BLDG C WICHITA, KS 67212 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $1K | $4K | 21.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | HUB INTERNATIONAL MID-AMERICA 2118 N TYLER BLDG C WICHITA, KS 67212 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $684 | $3K | 21.55% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 2118 N TYLER BLDG C WICHITA, KS 67212 | SURENCY LIFE AND HEALTH | $1K | — | $1K | 10.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | HUB INTERNATIONAL MID-AMERICA 2118 N TYLER BLDG C WICHITA, KS 67212 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $488 | $244 | $732 | 16.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | HUB INTERNATIONAL MID-AMERICA 2118 N TYLER BLDG C WICHITA, KS 67212 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $489 | $163 | $652 | 21.51% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE STE. 1900 TULSA, OK 74136 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $418 | — | $418 | 15.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 2118 N TYLER BLDG C WICHITA, KS 67212 | SURENCY LIFE AND HEALTH | $220 | — | $220 | 10.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 6100 S YALE STE. 1900 TULSA, OK 74136 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $279 | — | $279 | 15.01% |
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 | 100 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 118 | $475K |
| Dental | DELTA DENTAL OF KANSAS, INC. | 73 | $52K |
| Vision(2 contracts) | SURENCY LIFE AND HEALTH | 51 | $13K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 103 | $24K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 26 | $13K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 26 | $16K |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 103 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 118 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.