| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $146K | — | $146K | 3.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 2.53% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 0.54% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $10 | $2K | 0.49% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | — | $375 | $375 | 0.12% |
| VOLUNTARY BENEFIT ADVISORS3 | 1936 E. DEERE AVE. SUITE 120 SANTA ANA, CA 927055732 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 4.65% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | $636 | $10 | $646 | 1.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $351 | — | $351 | 1.04% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | — | $159 | $159 | 0.47% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 20.00% |
| VOLUNTARY BENEFIT ADVISORS3 | 1936 E. DEERE AVE. SUITE 120 SANTA ANA, CA 927055732 | METROPOLITAN LIFE INSURANCE COMPANY | $839 | — | $839 | 4.93% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | $382 | $10 | $392 | 2.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $214 | — | $214 | 1.26% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | — | $96 | $96 | 0.56% |
| VOLUNTARY BENEFIT ADVISORS3 | 1936 E. DEERE AVE. SUITE 120 SANTA ANA, CA 927055732 | METROPOLITAN LIFE INSURANCE COMPANY | $769 | — | $769 | 5.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $196 | — | $196 | 1.31% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | $183 | $10 | $193 | 1.29% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | METROPOLITAN LIFE INSURANCE COMPANY | — | $46 | $46 | 0.31% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $780 | — | $780 | 5.39% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $410 | — | $410 | 2.83% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $382 | — | $382 | 2.64% |
| CENTRO BENEFITS RESEARCH LLC3 | 24500 CHAGRIN BLVD. SUITE 365 BEACHWOOD, OH 441225646 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | — | $102 | $102 | 0.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN GENERAL INSURANCE COMPANY | $271 | — | $271 | 7.22% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN GENERAL INSURANCE COMPANY | $140 | — | $140 | 3.73% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | METLIFE LEGAL PLANS | $69 | $13 | $82 | 11.87% |
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 | 276 | 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) | 276 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 397 | $3.8M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 742 | $325K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 742 | $310K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 742 | $310K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 397 | $3.7M |
| Other(5 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 742 | $4.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 742 | — |
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.