| 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 TULSA, OK 74136 | BLUE CROSS AND BLUE SHIELD OF KANSAS | $76K | — | $76K | 2.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST | 6100 S YALE AVE STE 1900 TULSA, OK 74136 | DELTA DENTAL OF KANSAS, INC. | $13K | — | $13K | 4.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 2118 N TYLER RD BLDG C WICHITA, KS 67212 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 4.88% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 1591 GALBRAITH AVE SE GRAND RAPIDS, MI 49546 | HARTFORD LIFE AND ACCIDENT | — | $5K | $5K | 2.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 2118 N TYLER RD BLDG C WICHITA, KS 67212 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 9.97% |
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 | 810 | 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) | 810 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF KANSAS | 681 | $3.1M |
| Dental | DELTA DENTAL OF KANSAS, INC. | 459 | $284K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 669 | $30K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 810 | $170K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 810 | $170K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 810 | $170K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF KANSAS | 681 | $3.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 810 | — |
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.